| NPI | 1578995908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OK 1033695) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: OK 1033695) |
| 226300000X Kinesiotherapist (Licence: OK 1033695) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-13 |