| NPI | 1861919177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA YEGGE Owner 208-972-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS-2721) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT121623) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |