NPI | 1477922748 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW WORTHY President 770-212-9297 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-21 |