| NPI | 1750846432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 71264) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: CA 71264) |
| 174H00000X Health Educator (Licence: 20203) | |
| 2255R0406X Specialist/Technologist, Rehabilitation, Blind (Licence: CA 20203) | |
| 226300000X Kinesiotherapist (Licence: 20203) | |
| 246Z00000X Specialist/Technologist, Other | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-07 |