| NPI | 1821703463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN MAZE C.E.O 504-810-7092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-24 |