Individual
MR. JOHN WILLIAM BUSTLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1420 HUSTONVILLE RD, DANVILLE, KY 40422-2424
(859) 236-5562
Mailing address
137 1/2 N 3RD ST, DANVILLE, KY 40422-1631
(859) 936-1724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-1021
KY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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