| NPI | 1356814206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GROYSMAN Manager 469-600-6241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |