NPI | 1609755743 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 046868) |
Additional Taxonomies | 171000000X Military Health Care Provider |
171400000X Health & Wellness Coach | |
Enumeration Date | 2025-09-02 |
Last Update Date | 2025-09-02 |