| NPI | 1689126468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEESA HANSKNECHT Wellness Specialist 248-229-4016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501008527) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |