| NPI | 1962835843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTELLE YANDOW Owner 407-285-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 52193) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 33054) |
| 225700000X Massage Therapist (Licence: FL 41296) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |