Individual
JOSEPH A PEABODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1290 S 3RD ST W, SUITE A, MISSOULA, MT 59801-2396
(406) 240-5401
Mailing address
1622 S 4TH ST W, MISSOULA, MT 59801-2234
(406) 240-5401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1622
MT
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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