Individual
LACEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1207 E FRONT ST STE 1, BUTTE, MT 59701-2935
(406) 410-4343
Mailing address
1207 E FRONT ST STE 1, BUTTE, MT 59701-2935
(406) 410-4343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-27128
MT
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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