Individual
JOHN MOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00696
OR
171100000X
Acupuncturist
ACU 936
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51-0485130
TAX-ID
OR
Enumeration date
02/15/2007
Last updated
05/26/2011
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