Individual
MARY ELLEN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1623 13TH AVE S, GREAT FALLS, MT 59405-4705
(406) 788-2214
(406) 727-1324
Mailing address
1623 13TH AVE S, GREAT FALLS, MT 59405-4705
(406) 788-2214
(406) 727-1324
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
902
MT
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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