| NPI | 1780900118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMMIE SMALLHORNE Owner/Manager 817-921-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT002346) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-14 |