Individual provider · Type 1 NPI

Victoria Lea Bothman, LMT

Massage Therapist · St. Louis, MO

NPI number 1154495919 Active

Practice location

7902 Big Bend Blvd
St. Louis, MO 63119-2704

Call (618) 791-8742 Map

Mailing address

108 Maple St
Edwardsville, IL 62025-1441

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2002002533 (MO)

Massage Therapist: 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.

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About NPI 1154495919

Victoria Lea Bothman, LMT's National Provider Identifier is 1154495919, issued on Nov 20, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.