| NPI | 1720587538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA REYES Massage Practicioner 469-701-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT102405) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-06-16 |