Individual
PROF. PATRICIA E MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
329 S 2ND ST W, MISSOULA, MT 59801-1839
(406) 542-9177
Mailing address
329 S 2ND ST W, MISSOULA, MT 59801-1839
(406) 542-9177
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1919
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616580000
FEDERAL WORKMANS COMPENSATION PROVIDER
MT
Enumeration date
03/25/2014
Last updated
03/25/2014
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