| NPI | 1609308980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CHRISTIANNE MALDONADO RADER Owner 570-604-7739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0018910) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |