| NPI | 1568343549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY SIVERSON Owner 605-574-1998 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |