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Individual

MRS. BARBARA MICHELLE BOTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3918 IRWIN SIMPSON ROAD, MASON, OH 45040-9754
(513) 545-7134
(513) 398-2382
Mailing address
3918 IRWIN SIMPSON ROAD, MASON, OH 45040-9754
(513) 545-7134
(513) 398-2382

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
1167
KY
225700000X
Massage Therapist
Primary
13921
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16175935000
WORKMANS COMP PROVIDER
OH
Enumeration date
01/12/2007
Last updated
07/08/2007
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