| NPI | 1871317685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA NICOLE HEINECKE Owner/Licensed Massage Therapist 719-238-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2024-11-09 |