Individual
GRACE ANNE GENSAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1111 BAKER AVE, WHITEFISH, MT 59937-2901
(406) 862-5174
Mailing address
431 1ST ST E, KALISPELL, MT 59901-4505
(603) 986-2232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-19208
MT
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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