Organization
BREANN MOON, LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANN MARIE MOON LMT, NMT (LICENSED MASSAGE THERAPIST)
(406) 314-0832
Entity
Organization
Contact information
Practice address
453 6TH AVENUE EAST N, COLUMBIA FALLS, MT 59912-3220
(406) 314-0832
Mailing address
453 6TH AVENUE EAST N, COLUMBIA FALLS, MT 59912-3220
(406) 314-0832
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1319
MT
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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