| NPI | 1811237605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE SUE GILDEA Owner 269-373-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 175L00000X Homeopath |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |