| NPI | 1861977654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA ANN HINTON Senior Executive Director 800-766-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2025-06-25 |