| NPI | 1972978104 |
|---|---|
| Former Legal Business Name | THAI BOM BAAT, LLC |
| Doing Business As | FIVE BODIES COLLECTIVE |
| Entity Type | Organization |
| Authorized Contact | FOCUS A BURMESTER Owner 541-344-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2024-02-06 |