| NPI | 1972292233 |
|---|---|
| Former Legal Business Name | WATER STREET MASSAGE SPA LLC |
| Entity Type | Organization |
| Authorized Contact | LASHONTA WRENCHER Owner 414-578-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |