| NPI | 1447196142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNIELLE SMITH Member 678-235-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) |
| Enumeration Date | 2026-04-25 |
| Last Update Date | 2026-04-25 |