| NPI | 1679121065 |
|---|---|
| Doing Business As | DEEPER DIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MEREDITH ELLEN MARTIN CEO 401-862-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |