| NPI | 1336536614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAH JACKSON Massage Therapist 406-696-3908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 5952) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2016-10-11 |