| NPI | 1750793519 |
|---|---|
| Doing Business As | TRADE STREET MASSAGE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY RUGGIERO Owner 864-275-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 5857) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: SC 5857) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |