NPI | 1760787410 |
---|---|
Former Name | CHRISTINA MARIE VEIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 61245) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: FL AL #2679) |
Enumeration Date | 2011-01-11 |
Last Update Date | 2024-04-30 |