Individual
MS. LACIE MARIE ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMT
Contact information
Practice address
40 SECOND STREET EAST, SUITE 235, KALISPELL, MT 59901
(406) 253-8016
(406) 257-5116
Mailing address
PO BOX 11076, KALISPELL, MT 59904-4076
(406) 253-8016
(406) 257-5116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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