Individual
AMY L KINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
611 N WALLACE AVE STE 2, BOZEMAN, MT 59715-3082
(406) 539-4691
Mailing address
1109 S SPRUCE DR, BOZEMAN, MT 59715-5952
(406) 539-4691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13689
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT-LIC-13689
LICENSED MASSAGE THERAPIST
MT
Enumeration date
11/28/2018
Last updated
11/28/2018
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