| NPI | 1629473681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE WALKER Owner 703-850-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019001640) |
| Additional Taxonomies | 374K00000X Religious Nonmedical Practitioner |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2014-11-01 |