Individual
MARIE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W. FLORENCE ST, MISSOULA, MT 59801
(406) 529-1781
Mailing address
523 S. ORANGE ST., MISSOULA, MT 59801
(406) 529-1781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4231
MT
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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