| NPI | 1457662488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02081) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2020-06-15 |