NPI | 1467877837 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA VANDERLOOP Owner / Licensed Massage Therapist 920-539-9298 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 3047-146) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 10816-146) |
225700000X Massage Therapist (Licence: WI 4559-146) | |
225700000X Massage Therapist (Licence: WI 2742-146) | |
Enumeration Date | 2014-02-21 |
Last Update Date | 2014-02-21 |