| NPI | 1366787533 |
|---|---|
| Former Legal Business Name | GLASS FAMILY MASSAGE THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | GEORGE COURTENAY GLASS Owner/Massage Therapist 970-403-5453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2013-01-31 |