| NPI | 1508565607 |
|---|---|
| Former Name | TERESE MARIE MONTOYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 226300000X Kinesiotherapist |
| Additional Taxonomies | 132700000X Dietary Manager |
| 171400000X Health & Wellness Coach | |
| 225400000X Rehabilitation Practitioner | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |