Individual
KIMBERLY F DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
801 KENSINGTON ST 201, MISSOULA, MT 59801
(406) 529-2763
Mailing address
PO BOX 1209, BONNER, MT 59823-1209
(406) 529-2763
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1034
MT
Other
Enumeration date
03/20/2012
Last updated
04/03/2012
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