Individual
MARY GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RCST
Contact information
Practice address
31 TIMBERLINE DR, KALISPELL, MT 59901-8538
(406) 360-3846
Mailing address
31 TIMBERLINE DR, KALISPELL, MT 59901-8538
(406) 360-3846
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-13600
MT
Other
Enumeration date
06/29/2019
Last updated
05/02/2022
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