| NPI | 1760811400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M BONK Owner/Operator 623-295-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-18159) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |