NPI 1245816651

Robert James Mottl, LMT

Practitioner Massage Therapist Green Bay, WI

Practice location

Address: 1116 Pilgrim Way APT a, Green Bay, WI 54304-5832
Phone: (920) 660-3373

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1912-146 (WI)

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Registry record

NPI: 1245816651
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2021
Record last updated: 24 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.