| NPI | 1356696934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY A MINNICK President / Owner 239-671-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA25921) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |