Individual
MR. JOHN JOSEPH BOTHNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
14209 SANDY MEADOW CIR, LEANDER, TX 78641-8047
(512) 569-9793
Mailing address
14209 SANDY MEADOW CIR, LEANDER, TX 78641-8047
(512) 569-9793
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008128
TX
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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