Individual
JOAN COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
800 KENSINGTON AVE, 201, MISSOULA, MT 59801-5674
(406) 549-9244
Mailing address
7036 UNCLE ROBERT LN, #7, MISSOULA, MT 59803-3518
(406) 830-6811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-4223
MT
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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