Individual
JANE MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 SPOKANE AVE, WHITEFISH, MT 59937-2780
(406) 862-1071
Mailing address
117 PARK KNOLL LN, WHITEFISH, MT 59937-8263
(406) 250-6405
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-17950
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT-LMT-LIC-17950
LMT LICENSE
MT
Enumeration date
02/02/2021
Last updated
02/02/2021
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