| NPI | 1881465961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY OTTENS Owner 631-487-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-09-30 |