Individual
MR. CLINT COLBERT IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT1168787
Contact information
Practice address
825 MAIN ST STE 150, BUDA, TX 78610-3410
(210) 929-2839
Mailing address
345 CHAMPION BLVD APT 318, SAN MARCOS, TX 78666-6782
(210) 535-8567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT116878
TX
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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