NPI | 1821480468 |
---|---|
Doing Business As | LYN LAKE MASSAGE |
Entity Type | Organization |
Authorized Contact | MICHAEL JOHN ROSENTRETER Owner 715-803-8220 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-02-18 |