Individual
KELSIE LINDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 9TH AVE W, POLSON, MT 59860-5136
(406) 250-3112
Mailing address
36995 BAPTISTE RD, RONAN, MT 59864-8653
(406) 250-3112
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15964
MT
225700000X
Massage Therapist
LMT-LMT-LIC-15964
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT-LMT-LIC-15964
MONTANA MASSAGE BOARD
MT
Enumeration date
02/03/2020
Last updated
02/03/2020
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