Individual
RONALD ADENAUER CULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1519 S RESERVE ST, MISSOULA, MT 59801-4755
(406) 549-2006
Mailing address
1519 S RESERVE ST, MISSOULA, MT 59801-4755
(406) 549-2006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14631
MT
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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