| NPI | 1821266685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L GRIDER Massage Therapist 505-888-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: NM 54853807) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |