Individual
JEFFRY BOTT
Active
Individual
JEFFRY BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.M.T.
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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