| NPI | 1831968775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD R03686) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 173C00000X Reflexologist | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |