| NPI | 1467090803 |
|---|---|
| Former Legal Business Name | GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA |
| Entity Type | Organization |
| Authorized Contact | LAURA LOUISE ZIMBERG Owner/Lmt 716-435-0020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |