Individual
PATRICIA LANE BRUSATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1625 HARRISON AVE, BUTTE, MT 59701
(406) 491-3124
Mailing address
1625 HARRISON AVE, BUTTE, MT 59701
(406) 491-3124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
649
MT
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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