| NPI | 1982032546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TALLMAN Owner/Licensed Massage Therapist 315-269-4205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 018320) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |