| NPI | 1710194337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK FERGUSON Massage Therapist 302-836-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: DE 1999201447) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |