Individual
BONNIE MARIE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
725 W ALDER ST STE 20, MISSOULA, MT 59802-4099
(406) 493-1115
Mailing address
10562 SLEEMAN CREEK RD, LOLO, MT 59847-8515
(512) 294-3030
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LIC-11815
MT
225700000X
Massage Therapist
MT046978
TX
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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