Individual
CAROL E GROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NCTM
Contact information
Practice address
409 W. MAIN, SUITE E, BELGRADE, MT 59714
(406) 388-8080
(406) 388-9263
Mailing address
PO BOX 615, BELGRADE, MT 59717
(406) 388-8080
(406) 388-9263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
553
MT
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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