| NPI | 1548046022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FREDERICK DOUGLAS Massage Therapist/Flexibility Coach 310-480-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |