| NPI | 1326311770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAYDON SNOW Owner 239-288-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2378) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8741) |
| 171100000X Acupuncturist (Licence: FL AP2869) | |
| 225700000X Massage Therapist (Licence: FL MA46855) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |