| NPI | 1679435028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: MN HMGT24-0060) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MN HMGT24-0060) |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |