| NPI | 1750123055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BOGER Owner 646-598-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |