Organization
ANDREA M. ELLESTAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M. ELLESTAD LMT (MANAGER)
(406) 203-6207
Entity
Organization
Contact information
Practice address
3700 S RUSSELL ST SUITE 106, MISSOULA, MT 59801
(406) 203-6207
Mailing address
10236 PALE MORNING CT, MISSOULA, MT 59808
(406) 203-6207
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1098
MT
Other
Enumeration date
12/12/2011
Last updated
10/16/2025
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