| NPI | 1972039717 |
|---|---|
| Doing Business As | MEDICAL MASSAGE |
| Entity Type | Organization |
| Authorized Contact | JESSICA ASHLEY COBURN Co Owner 304-952-1692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WV 2014-3267) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |