NPI | 1871862755 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK HOLDER Owner/ General Manager 603-673-7123 |
Organization Subpart ? | No |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
225700000X Massage Therapist | |
Enumeration Date | 2011-12-21 |
Last Update Date | 2011-12-21 |