| NPI | 1801489240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE TJADEN Owner 631-438-6682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2022-02-01 |