| NPI | 1346528619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONG XIONG Massage Therapist 651-434-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MN 20110001127) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |