| NPI | 1629392477 |
|---|---|
| Doing Business As | ELEMENTS THERAPEUTIC MASSAGE |
| Entity Type | Organization |
| Authorized Contact | MARY COLLEEN O'CONNOR Manager 502-609-1768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 1925) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |