Individual
TARA LEE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTS, LMT
Contact information
Practice address
715 W. KENSINGTON #2D, MISSOULA, MT 59801
(406) 728-6347
(406) 273-4787
Mailing address
715 W. KENSINGTON #2D, MISSOULA, MT 59801
(406) 728-6347
(406) 273-4787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
984
MT
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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