Individual
JANET BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 PINE DR, PRESCOTT, AZ 86301-4837
(928) 642-7064
Mailing address
3015 PINE DR, PRESCOTT, AZ 86301-4837
(928) 642-7064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29463
AZ
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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