| NPI | 1982388112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA WALKER Owner 769-226-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |