Robert James Mottl, LMT

NPI #1245816651 in Green Bay, Wisconsin

Provider Information

NPI Number: 1245816651
Entity Type: Individual
Name: Robert James Mottl, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 24, 2021
Last Updated: Mar 24, 2021

Practice Location

Address: 1116 PILGRIM WAY APT A
City: Green Bay
State: Wisconsin
ZIP Code: 54304-5832
Phone: (920) 660-3373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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