| NPI | 1811268022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY FISK Licensed Massage Therapist 352-216-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA50595) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |