| NPI | 1457731002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVE JAY YOUNG Owner / Member 307-682-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-12 |