| NPI | 1902132772 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IN MT20901934) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: IN MT20901934) |
| 174H00000X Health Educator (Licence: IN MT20901934) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN MT20901934) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |