| NPI | 1598350993 |
|---|---|
| Former Legal Business Name | TAKERA'S THERAPEUTIC MASSAGE PLLC |
| Entity Type | Organization |
| Authorized Contact | TAKERA LAWERY Owner 131-367-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |