| NPI | 1861228892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 173C00000X Reflexologist |
| 171400000X Health & Wellness Coach | |
| 225700000X Massage Therapist | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-12 |