| NPI | 1699460162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE HIERHOLZER President 315-569-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 171400000X Health & Wellness Coach | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-16 |