| NPI | 1598469074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JILES Owner 901-870-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-04-21 |