Individual provider · Type 1 NPI
Clint Colbert Iv, MT1168787
Massage Therapist · Buda, TX
NPI number
1235810946
Active
Practice location
825 Main St Ste 150
Buda, TX 78610-3410
Mailing address
345 Champion Blvd Apt 318
San Marcos, TX 78666-6782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT116878 (TX) |
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 1235810946
Clint Colbert Iv, MT1168787's National Provider Identifier is 1235810946, issued on Jul 26, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Buda, TX. The record was last updated on Jul 26, 2023.