| NPI | 1780160200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M FOSTER Owner/Licensed Massage Therapist 757-323-5139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019006819) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |