Individual
MR. JEFF ALLAN DUCKLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 KENSINGTON AVE STE 3A715, MISSOULA, MT 59801-5769
(406) 552-3760
Mailing address
715 KENSINGTON AVE STE 3A715, MISSOULA, MT 59801-5769
(406) 552-3760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
139
MT
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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