Individual
CHERIE ANN CLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
334 E BROADWAY ST, MISSOULA, MT 59802-4618
(406) 239-0181
Mailing address
1242 BIG PINES LN, MISSOULA, MT 59802-5729
(406) 239-0181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-264
MT
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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