NPI | 1730549171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0006567) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO PTA.0013202) |
Enumeration Date | 2016-02-27 |
Last Update Date | 2016-02-27 |