Individual
MS. DEBORAH A. KIMMET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1048 BURLINGTON AVE STE 108, MISSOULA, MT 59801-5684
(406) 544-4704
Mailing address
PO BOX 1252, MISSOULA, MT 59806-1252
(406) 544-4704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1
MT
225700000X
Massage Therapist
300
NM
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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