Organization
BRAIDED WATER THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAIRE LAH (ADMINTISTRATOR)
(360) 471-0628
Entity
Organization
Contact information
Practice address
280 W KAGY BLVD STE D, 109, BOZEMAN, MT 59715-6056
(360) 471-0628
Mailing address
280 W KAGY BLVD STE D, BOZEMAN, MT 59715-6056
(360) 471-0628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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