| NPI | 1619635323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GRAE Massage Therapist 347-728-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 132700000X Dietary Manager |
| 171100000X Acupuncturist | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |