| NPI | 1871069146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY DAVIS Owner 954-909-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |