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Individual

CASEY ANNE BRUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
14 2ND ST W STE B, WHITEFISH, MT 59937-3036
(406) 260-3939
Mailing address
225 IOWA AVE, WHITEFISH, MT 59937-2328
(406) 260-3939

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6435
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041001428531
MONTANA STATE FUND
MT
Enumeration date
02/22/2022
Last updated
03/08/2022
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