| NPI | 1508000191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY MICHELLE KOEHLER Owner 505-474-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM LMT3231) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |