Individual
SOPHIA ROBERTA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-8200
(406) 251-3332
Mailing address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-8200
(406) 251-3332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-2532
MT
Other
Enumeration date
07/16/2012
Last updated
05/27/2015
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