| NPI | 1871856047 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH PLYER Nctmb 208-376-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 155194-00) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |