Mr. Michael Gregory Bothum, MASSAGETHERAPISTLM
Mr. Michael Gregory Bothum, MASSAGETHERAPISTLM is a Massage Therapist in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
2911 W Northwest BlvdSpokane, WA 99205-2378
Phone: (509) 326-6669
Fax: (509) 326-6669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MA00010200 (WA) |
|---|
Record details
| NPI number | 1538235130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MASSAGETHERAPISTLM |
| Sole proprietor | No |
| NPI enumerated | November 27, 2006 |
| Last updated in NPPES | July 8, 2007 |
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