Individual
MS. CARLOTTA V ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN LMT
Contact information
Practice address
2707 S HIGGINS AVE, MISSOULA, MT 59801-8129
(406) 549-1169
Mailing address
2707 S HIGGINS AVE, MISSOULA, MT 59801-8129
(406) 549-1169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-6052
MT
Other
Enumeration date
07/29/2015
Last updated
05/13/2016
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