| NPI | 1962804112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESLA HEIDI GILLESPIE Owner 208-546-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID masg-303) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |