| NPI | 1831444090 |
|---|---|
| Former Name | JOLENE E MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19021) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60286195) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2019-01-03 |