Individual provider · NPI-1

Marilyn Sandra Botta, Marilyn Botta

Massage Therapist · Augusta, GA

NPI number1588959480
StatusActive
Last updated in NPPESSep 26, 2011

Details

NPI
1588959480
Entity type
Individual (NPI-1)
Name
Ms. Marilyn Sandra Botta
Credential
Marilyn Botta
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2011
Last updated
Sep 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT006157GAYes

Other names

  • Marilyn Sandra Botta (Professional Name)

Practice location

304 Caldwell Cir
Augusta, GA 30909-5728

Phone 706-231-5008

Mailing address

304 Caldwell Cir
Augusta, GA 30909-5728

Phone 706-231-5008

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Massage Therapist providers in Augusta, GA