| NPI | 1801355391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J AZAR Licensed Massage Therapist 540-772-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 173C00000X Reflexologist |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |