NPI | 1326341041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA60958) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 60958) |
Enumeration Date | 2010-12-20 |
Last Update Date | 2025-05-28 |