| NPI | 1669503199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN L DAVIS Pres 229-435-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT000009) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA10936) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |