| NPI | 1710343595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANDRA JACKSON Owner 719-392-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2022-08-10 |