| NPI | 1801488135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN PARISEAU Owner/Operator: Massage Therapist 740-418-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |