| NPI | 1932645793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ERICKSON Owner/Licensed Massage Therapist 716-870-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 27 029070) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |