Individual
MRS. DONNA JEAN PODOLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 E 1ST ST, LAUREL, MT 59044-3030
(406) 861-7839
Mailing address
PO BOX 1212, LAUREL, MT 59044-1212
(406) 861-7839
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
548
MT
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/23/2007
Last updated
09/14/2012
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