| NPI | 1922491513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ANTHONY GOLIGHTLY Massage Therapist 208-936-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MASG-1948) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |