Robert Kelly Bush, BCTMB

NPI #1366834848 in Oak Park, California

Provider Information

NPI Number: 1366834848
Entity Type: Individual
Name: Robert Kelly Bush, BCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: BCTMB
Enumeration Date: Feb 20, 2015
Last Updated: Feb 20, 2015

Practice Location

Address: 465 SAVONA WAY
City: Oak Park
State: California
ZIP Code: 91377-4842
Phone: (805) 405-1883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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