NPI | 1689036576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0023205) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT002650) |
225700000X Massage Therapist (Licence: GA MT010471) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2021-01-24 |