Individual
BEN SUKUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 KENSINGTON AVE, SUITE 201, MISSOULA, MT 59801-5674
(406) 549-9244
(406) 549-7260
Mailing address
304 1/2 LEVASSEUR ST, MISSOULA, MT 59802-4741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC 7811
MT
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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