| NPI | 1366204000 |
|---|---|
| Doing Business As | AXON MEDICAL MASSAGE THERAPY |
| Entity Type | Organization |
| Authorized Contact | CANDIDA MICHELLE COSENTINO Owner 331-806-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |