Individual
JACOB REEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3031 SOUTH RUSSELL ST, MISSOULA, MT 59801
(406) 327-6678
Mailing address
3031 SOUTH RUSSELL ST, MISSOULA, MT 59801
(406) 327-6678
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-7792
MT
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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