# THE MISSOULA MERIDIAN

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

## Provider details

- **NPI number:** 1578106183
- **Authorized official:** ANDREA RIVERA (CO-OWNER)
- **Authorized official phone:** (808) 341-4349

## Contact information

- **Practice address:** 1852 SOUTH AVE W, MISSOULA, MT 59801-6510
- **Practice address phone:** (406) 926-1616
- **Mailing address:** 1852 SOUTH AVE W, MISSOULA, MT 59801-6510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 10/26/2019
- **Last updated:** 10/26/2019