| NPI | 1508480005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LEANNE STEPHENS Owner/Operator 517-819-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |