NPI | 1710748116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M06476) |
Additional Taxonomies | 173C00000X Reflexologist |
374K00000X | |
Enumeration Date | 2024-01-22 |
Last Update Date | 2024-01-22 |