| NPI | 1588812747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELLA A HICKS Massage Therapist 239-898-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA47163) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |