| NPI | 1588023238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A CAMPBELL Managing Sole Member 907-347-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 101554) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |