Individual
MS. JENNIFER WYNN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT NMT CKTP
Contact information
Practice address
2108 BROADWATER AVE STE 202, BILLINGS, MT 59102-4732
(406) 696-6000
Mailing address
2108 BROADWATER AVE STE 202, BILLINGS, MT 59102-4732
(406) 696-6000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
275
MT
Other
Enumeration date
12/03/2014
Last updated
01/24/2018
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