NPI | 1992685820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M06577) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019012669) |
Enumeration Date | 2025-09-03 |
Last Update Date | 2025-09-03 |