Individual
BILLIE J NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12 HIDDEN VALLEY RD, HAVRE, MT 59501-5241
(406) 399-0701
Mailing address
12 HIDDEN VALLEY RD, HAVRE, MT 59501-5241
(406) 399-0701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-24547
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT-LMT-LIC-24547
STATE LICENSE NUMBER
MT
Enumeration date
11/02/2022
Last updated
11/02/2022
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