| NPI | 1538312871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: CA 9100010837) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 004339) |
| 225700000X Massage Therapist (Licence: CA 000464) | |
| 225700000X Massage Therapist (Licence: CA 00789) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-11-24 |