Individual
MR. RICHMOND BOHLER TERRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L. M. T.
Contact information
Practice address
118 N ROSS ST, SUITE 4, AUBURN, AL 36830-4857
(334) 826-3842
Mailing address
1911 MOORES MILL DR, LANETT, AL 36863-2165
(423) 316-3665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3062
AL
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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