| NPI | 1942853478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA YENKANA- KAPPUS President 469-596-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2021-11-22 |