| NPI | 1336779800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE AUGUSTUS Owner 937-404-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |