| NPI | 1437619830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WISELY Owner 801-662-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |