NPI | 1972913929 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL HENDERSON Owner / Therapist 863-337-4463 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA75231) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2014-04-29 |