Individual
SHELBY RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2801 S RUSSELL ST STE 39, MISSOULA, MT 59801-7922
(406) 304-6627
Mailing address
610 PIONEER CT N, MISSOULA, MT 59801-7000
(406) 304-6627
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-16850
MT
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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