Individual
SOUTA CALLING LAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T
Contact information
Practice address
1116 S RUSSELL ST, MISSOULA, MT 59801-3511
(406) 543-8500
Mailing address
1116 S RUSSELL ST, MISSOULA, MT 59801-3511
(406) 543-8500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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