Individual
KELLY SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2135 CHARLOTTE ST, BOZEMAN, MT 59718-2739
(406) 586-3133
Mailing address
3159 GARDENBROOK LN, BOZEMAN, MT 59715-0687
(406) 600-1524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2080
MT
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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