| NPI | 1972365138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI GRAMZ Owner/Provider 541-961-7913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-05-23 |