| NPI | 1558659920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM DUSTERHOFT Owner 816-792-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2007037586) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MO 2007037586) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-09-28 |