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Mr. Michael Gregory Bothum, MASSAGETHERAPISTLM
Massage Therapist in Spokane, Washington
NPI 1538235130

Michael Gregory Bothum is a Massage Therapist based in Spokane, WA. Michael Gregory Bothum practices in Spokane, WA and has the professional credentials of MASSAGETHERAPISTLM. The NPI Number for Michael Gregory Bothum is 1538235130 and holds a License No. MA00010200 (Washington).

The current practice location address for Michael Gregory Bothum is 2911 W Northwest Blvd, Spokane, WA and can be reached out via phone at 509-326-6669 and via fax at 509-326-6669.

Location: 2911 W Northwest Blvd, Spokane, WA, 99205-2378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538235130
Provider Name
Michael Gregory Bothum
Credential
MASSAGETHERAPISTLM
Provider Entity Type
Individual
Gender
Male
Address
2911 W Northwest Blvd, Spokane, WA, 99205-2378
Phone Number
509-326-6669
Fax Number
509-326-6669
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2911 W Northwest Blvd
City
Spokane
State
Washington
Zip
99205-2378
Phone Number
509-326-6669
Fax Number
509-326-6669
person
Provider Business Mailing Address Details
Address
2911 W Northwest Blvd
City
Spokane
State
Washington
Zip
99205-2378
Phone Number
509-326-6669
Fax Number
509-326-6669
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00010200 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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