Individual
MISS DANIELLE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T., R.T.
Contact information
Practice address
1620 REGENT ST, SUITE D, MISSOULA, MT 59801-5676
(406) 531-3588
Mailing address
2320 W SUMMIT DR, MISSOULA, MT 59803-2622
(406) 531-3588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4584
MT
Other
Enumeration date
12/05/2014
Last updated
02/07/2017
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