Organization
MONTANA SCHOOL OF MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA ANN HAWKINS CMT (ADMISSIONS DIRECTOR)
(406) 549-9244
Entity
Organization
Contact information
Practice address
1629 SOUTH AVE W, MISSOULA, MT 59801-7803
(406) 549-9244
(406) 549-7260
Mailing address
1629 SOUTH AVE W, MISSOULA, MT 59801-7803
(406) 549-9244
(406) 549-7260
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
BL20070456
MT
Other
Enumeration date
09/20/2011
Last updated
09/23/2011
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