| NPI | 1528421591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOC MINH TA NGUYEN Licensed Massage Therapist 417-872-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 707742) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: MO 707742) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |