| NPI | 1467938126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MODESTO Administrator 956-465-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT130039) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |