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Individual

KATIE M BALLWEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMT

Contact information

Practice address
2015 BURLINGTON AVE, MISSOULA, MT 59801-5425
(406) 546-7762
Mailing address
2015 BURLINGTON AVE, MISSOULA, MT 59801-5425
(406) 546-7762

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-2386
MT

Other

Enumeration date
09/14/2012
Last updated
09/14/2012
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