Individual
THERESA L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT LMT
Contact information
Practice address
1550 US HIGHWAY 93 N, SPA ROOM, KALISPELL, MT 59901-3155
(406) 250-9263
(406) 756-3277
Mailing address
PO BOX 2142, COLUMBIA FALLS, MT 59912-2142
(406) 250-9263
(406) 756-3277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
869
MT
225700000X
Massage Therapist
MT20902732
IN
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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