| NPI | 1891490959 |
|---|---|
| Former Name | DEVON MICHELLE BODENHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-07-31 |