| NPI | 1760760680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LEA LAONE Owner, License Massaged Therapist 860-621-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 002078) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |