| NPI | 1528894771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE PUTRA Member 262-470-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |