| NPI | 1548499452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE DAVIS Owner 970-704-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 174400000X Specialist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-15 |