| NPI | 1477850659 |
|---|---|
| Other Name | MASSAGE ENVY OF BOCA PARK |
| Entity Type | Organization |
| Authorized Contact | DALE L SANDERSON Clinic Administrator 702-212-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NV NVMT 4434) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |