| NPI | 1881067627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LAMB Owner 602-821-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: AZ 8479) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT20939) |
| 225700000X Massage Therapist (Licence: AZ MT20953) | |
| 111NR0400X (Licence: AZ 8439) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2016-03-03 |