| NPI | 1558748079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PACKARD Owner/Manager 928-925-0243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT04768P) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |