Individual
ANGELA KAY LEIRFALLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 MAIN ST, STEVENSVILLE, MT 59870-2111
(406) 880-2682
Mailing address
1050 MELLOT LN, MISSOULA, MT 59808-9019
(406) 880-2682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-13827
MT
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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