Individual
AMBER R GRANZOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
322 2ND AVE W STE E, KALISPELL, MT 59901-4867
(406) 285-8605
Mailing address
322 2ND AVE W STE E, KALISPELL, MT 59901-4867
(406) 285-8605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-1338
MT
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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