Individual
EDWARD ANDERSON WEYMOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCBTMB
Contact information
Practice address
800 KENSINGTON AVE STE 201, MISSOULA, MT 59801-5670
(406) 549-9244
Mailing address
1900 TRAIL ST # 203, MISSOULA, MT 59801-1540
(734) 417-4995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-4239
MT
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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