| NPI | 1669923058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARIE SHAHAN Owner 302-798-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: DE MT0004411) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |