| NPI | 1982200218 |
|---|---|
| Former Name | BRITTANY FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AR 9013) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX 764093) |
| 225700000X Massage Therapist (Licence: TX 116440) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-04-13 |