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Individual

AMBER WAGSTAFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, NMT

Contact information

Practice address
160 HERITAGE WAY STE 104, KALISPELL, MT 59901-3127
(208) 916-7971
Mailing address
42 VALLEY VIEW PL, KALISPELL, MT 59901-7711
(208) 916-7971

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17866
MT

Other

Enumeration date
07/29/2014
Last updated
01/13/2020
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