| NPI | 1659170769 |
|---|---|
| Former Legal Business Name | DETOXITY HOLISTIC MEDISPA |
| Entity Type | Organization |
| Authorized Contact | WESLEY NAHM Owner 832-745-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-12 |