Individual
LORI LANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
2419 MULLAN RD, SUITE A, MISSOULA, MT 59808-1827
(406) 543-1955
(406) 543-1506
Mailing address
5655 KRISTIN LN, MISSOULA, MT 59803-2953
(406) 251-7117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NA
MT
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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