| NPI | 1861838013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HARRISON WAKEFIELD Owner/Manager 937-620-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT110561) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |