| NPI | 1437520590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT122240) |
| Additional Taxonomies | 173C00000X Reflexologist |
| 174400000X Specialist | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2020-01-28 |