Individual
MS. MIRIAM E LOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
810 N BROADWAY AVE, RED LODGE, MT 59068-9326
(406) 671-7113
Mailing address
PO BOX 972, RED LODGE, MT 59068-0972
(406) 671-7113
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
603
MT
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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