Individual
JEFFRY BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.M.T.
Contact information
Practice address
1180 MAIN ST, ST 7, WINDSOR, CO 80550-4709
(970) 686-9117
Mailing address
1115 NANTUCKET ST, WINDSOR, CO 80550-5540
(970) 286-1917
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0013788
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT.0013788
STATE
CO
Enumeration date
03/08/2017
Last updated
03/08/2017
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