| NPI | 1861860751 |
|---|---|
| Doing Business As | POSITIVE WAVES L.L.C |
| Entity Type | Organization |
| Authorized Contact | JADE CONRAD Owner 270-748-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |