| NPI | 1609329044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA P. SAINT LOUIS Owner/Licensed Massage Therapist 502-422-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: KY ky1156) |
| Additional Taxonomies | 171W00000X Contractor (Licence: KY KY-1156) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |