NPI | 1780097030 |
---|---|
Other Name | MARY L WHITLEY, LMT |
Entity Type | Organization |
Authorized Contact | MARY LIZABETH WHITLEY Pres/Owner 239-207-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 46629) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2014-06-04 |