Organization
STATELEN THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN WAYNE STATELEN L.M.T. (PRESIDENT)
(406) 265-2427
Entity
Organization
Contact information
Practice address
621 1ST ST W, HAVRE, MT 59501-3582
(406) 265-2427
(406) 265-1249
Mailing address
621 1ST ST W, HAVRE, MT 59501-3582
(406) 265-2427
(406) 265-1249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
280
MT
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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