| NPI | 1962938985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE M GRANT Massage Therapist 1207-284-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: ME MT2153) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |