NPI | 1427368323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: KY KY-2031) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 526987-07) |
Enumeration Date | 2010-10-14 |
Last Update Date | 2014-11-17 |