Individual
KASARAH ANN GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC-15884
Contact information
Practice address
2801 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1728
(406) 549-9100
Mailing address
2801 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1728
(406) 549-9100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LIC-15884
MT
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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