| NPI | 1376946392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIVA L CRUTCHER Massage Therapist 423-704-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 8241) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2020-11-05 |