| NPI | 1821847195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BO HU Owner 646-525-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |