| NPI | 1861217093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH YING XIONGBLAXANG Massage Therapist 651-443-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-10-29 |