Individual
EDWARD EARL JAMES WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 4TH ST W, KALISPELL, MT 59901-4825
(406) 885-3555
Mailing address
35 3RD AVE E, KALISPELL, MT 59901-4527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-15906
MT
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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