Individual
STACY MARIE WALENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
609 WEST 8TH STREET, UNIT B, LIBBY, MT 59935
(406) 304-0715
Mailing address
PO BOX 564, TROY, MT 59935-0564
(406) 304-0715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90451
CA
Other
Enumeration date
07/17/2023
Last updated
01/24/2025
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