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John William Bustle Jr., L.M.T.

Massage Therapist in Danville, KY. Individual provider (NPI-1).

NPI number1487971925
StatusActive
Last updated in NPPESApr 23, 2010

Details

NPI
1487971925
Entity type
Individual (NPI-1)
Name
Mr. John William Bustle Jr.
Credential
L.M.T.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 23, 2010
Last updated
Apr 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistKY-1021KYYes

Practice location

1420 Hustonville Rd
Danville, KY 40422-2424

Phone 859-236-5562

Mailing address

137 1/2 N 3rd St
Danville, KY 40422-1631

Phone 859-936-1724

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