| NPI | 1750109716 |
|---|---|
| Other Name | KATHERINE MANCILLA LMT |
| Entity Type | Organization |
| Authorized Contact | KATHERINE R MANCILLA Massage Therapist 786-200-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-06-05 |