| NPI | 1962229732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA VOGEL Owner 813-417-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 173C00000X Reflexologist |
| 225500000X Specialist/Technologist | |
| 225700000X Massage Therapist | |
| 247200000X Technician, Other | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QP1100X Clinic/Center, Podiatric | |
| 302R00000X Health Maintenance Organization | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |