Individual
MS. SAMANTHA BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
510 E 3RD AVE, BIG TIMBER, MT 59011-7958
(406) 290-4941
Mailing address
PO BOX 1595, BIG TIMBER, MT 59011-1595
(406) 290-4941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18200
MT
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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