NPI | 1417197211 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE ALBERTO Owner, Operator, President 719-444-0708 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 2693) |
Enumeration Date | 2009-03-06 |
Last Update Date | 2009-05-15 |