Individual
KAIZHEN LI KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 PORCUPINE RIDGE, FORTINE, MT 59918
(406) 882-4490
(406) 882-4495
Mailing address
6903 MEADOWCREEK ROAD, FORTINE, MT 59918
(406) 882-4490
(406) 882-4495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1427
MT
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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