| 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 |