| NPI | 1689031072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ELLIS Massotherapist 614-800-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OH 33.020787E-G) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |