| NPI | 1659585032 |
|---|---|
| Former Legal Business Name | CHARLES HASTINGS DBA MUSCULAR THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES HASTINGS Owner, Director 207-780-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ME MT1476) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-09-24 |