Individual
SONJA A WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
7056 JENAYA CT, MISSOULA, MT 59803-8507
(064) 546-4368
Mailing address
7056 JENAYA CT, MISSOULA, MT 59803-8507
(064) 546-4368
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LIC-20110
MT
Other
Enumeration date
10/25/2010
Last updated
10/02/2024
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