| NPI | 1326562547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CHRISTINE DOBERNECK Owner 505-507-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 22083) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2018-03-17 |