| NPI | 1437556669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA CHADBOURNE Owner/President 631-403-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 021161) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-06-29 |