| NPI | 1457850653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BREITLING NELL Partner 801-602-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 30847244701) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |