Individual
JACQUELINE EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
596 HOLLOW LN, BIGFORK, MT 59911-6325
(406) 261-8002
Mailing address
596 HOLLOW LN, BIGFORK, MT 59911-6325
(406) 261-8002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4057
MT
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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