| NPI | 1346617834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH WEIGOLD Licensed Massage Therapist 318-510-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 7934) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |