Individual
MOCHA-MYSTIQUE BUTKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT, ROSSITER
Contact information
Practice address
7606 UNIVERSITY AVE STE B-1, LUBBOCK, TX 79423-2155
(720) 217-7992
Mailing address
7606 UNIVERSITY AVE STE B-1, LUBBOCK, TX 79423-2155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0004490
CO
Other
Enumeration date
06/14/2018
Last updated
08/18/2023
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