| NPI | 1659883205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARMON M SIMMONS Owner/Operator 202-702-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT010908) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |