| NPI | 1669354817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAH OTTE Operations Manager 970-449-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-22 |