| NPI | 1962266197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KOZHEVNIKOV Sole Mbr/Licensed Massage Therapist 617-319-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |