Individual
JESSICA FRANCES REVERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21 S IDAHO ST, DILLON, MT 59725-2509
(484) 788-8582
Mailing address
21 S IDAHO ST, DILLON, MT 59725-2509
(484) 788-8582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-8058
MT
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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