# MYOFASCIAL RELEASE WORKS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396530176
- **Authorized official:** CHERYL A MOSS OT (OT)
- **Authorized official phone:** (406) 403-2626

## Contact information

- **Practice address:** 1816 COLUMBIA FALLS STAGE, COLUMBIA FALLS, MT 59912-9342
- **Practice address phone:** (406) 403-2626
- **Mailing address:** 1816 COLUMBIA FALLS STAGE, COLUMBIA FALLS, MT 59912-9342
- **Mailing address phone:** (406) 403-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2025
- **Last updated:** 04/11/2025
