Individual
MR. TIMOTHY JAMES EBERWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
225 HICKORY ST, MISSOULA, MT 59801-1856
(406) 529-9195
Mailing address
PO BOX 3524, MISSOULA, MT 59806-3524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
877
MT
225700000X
Massage Therapist
MA56903
FL
Other
Enumeration date
09/02/2009
Last updated
12/04/2010
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