NPI | 1710278338 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY L GREGG Director/Therapist 231-747-9163 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501000434) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: MI 7501000434) |
Enumeration Date | 2011-04-29 |
Last Update Date | 2015-09-09 |