Individual
MRS. TANA KRADOLFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
332 GALLATIN PARK DR, BOZEMAN, MT 59715-7909
(406) 539-3163
Mailing address
5075 CLEARVIEW RD, BELGRADE, MT 59714-8626
(406) 388-4974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
49
MT
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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