Individual
MS. WANDA SUSAN SWANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT NCTMB
Contact information
Practice address
1365 EVANS AVE, BUTTE, MT 59701-3421
(406) 494-0099
(406) 494-0099
Mailing address
1365 EVANS AVE, BUTTE, MT 59701-3421
(406) 494-0099
(406) 494-0099
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2003
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003
—
MT
Enumeration date
04/24/2012
Last updated
04/24/2012
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