| NPI | 1801274543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALITHA ANN EUSTICE Licensed Massage Practitioner 469-554-9642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA ma60533053) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |