Individual
HEATHER INGE ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3031 S. RUSSELL ST. STE 1, MISSOULA, MT 59801
(406) 728-1600
(406) 327-6702
Mailing address
PO BOX 9153, MISSOULA, MT 59807-9153
(406) 531-0689
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
MT
Other
Enumeration date
01/13/2010
Last updated
10/12/2020
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