Individual
LAURA M RUSSELL-NYGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1472 MT HIGHWAY 83, GREENOUGH, MT 59823-9629
(406) 552-9568
Mailing address
1472 MT HIGHWAY 83, GREENOUGH, MT 59823-9629
(406) 552-9568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1249
MT
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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