| NPI | 1396190211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 175L00000X Homeopath |
| 173C00000X Reflexologist | |
| 174H00000X Health Educator | |
| 175F00000X Naturopath | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |