| NPI | 1841066503 |
|---|---|
| Doing Business As | MIND BODY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JEAN MARIE KUTY President 208-353-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |