Individual
LEA ANN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
2500 GREAT NORTHERN AVE, # 602, MISSOULA, MT 59808-1732
(406) 880-9011
Mailing address
2500 GREAT NORTHERN AVE, # 602, MISSOULA, MT 59808-1732
(406) 880-9011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2414
MT
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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