NPI | 1407124209 |
---|---|
Entity Type | Organization |
Authorized Contact | DONETTA BOOTH WATSON Wv Licensed Massage Therapist 304-203-3779 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WV 20112912) |
Enumeration Date | 2011-12-07 |
Last Update Date | 2011-12-07 |