Individual
MR. GLEN ALLEN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCTMB
Contact information
Practice address
305 1ST AVE W, COLUMBIA FALLS, MT 59912-3619
(406) 871-1871
Mailing address
305 1ST AVE W, COLUMBIA FALLS, MT 59912-3619
(406) 871-1871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14032
OR
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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