| NPI | 1568831485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SMITH Owner/Medical Massage Practitioner 850-303-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: FL MA63341) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |