MR. MICHAEL GREGORY BOTHUM MASSAGE THERAPIST LM NPI 1538235130

NPI Information

NPI: 1538235130
Provider Name: MR. MICHAEL GREGORY BOTHUM, MASSAGE THERAPIST LM
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2911 W NORTHWEST BLVD
SPOKANE, WA
ZIP 99205
Phone: (509) 326-6669
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MR. Michael Gregory Bothum, MASSAGE THERAPIST LM is a massage therapist in Spokane, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Michael Gregory Bothum, MASSAGE THERAPIST LM NPI is 1538235130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2911 W NORTHWEST BLVD
SPOKANE, WA
ZIP 99205-378
Phone: (509) 326-6669
Fax: (509) 326-6669

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00010200	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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