NPI | 1881910248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 1158) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: KY 1539p) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2010-04-09 |