| NPI | 1790036713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY BROOKS Massage Therapist 847-721-7579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17835) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2014-07-24 |