Individual
BREANNA LEE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1070 N RUSSELL ST, MISSOULA, MT 59808-2004
(406) 541-8888
Mailing address
1070 N RUSSELL ST, MISSOULA, MT 59808-2004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-APP-8036
MT
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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