Individual
TAMARA A LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2000 FAIRWAY DR STE 108, BOZEMAN, MT 59715-5871
(406) 220-5533
Mailing address
2000 FAIRWAY DR STE 108, BOZEMAN, MT 59715-5871
(406) 220-5533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12521
MT
225700000X
Massage Therapist
LMT-LMT-12521
MT
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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