Individual
KYLEE BUMGARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6300 JACKRABBIT LN STE 4, BELGRADE, MT 59714-8967
(406) 600-4136
Mailing address
1126 IDAHO ST, BELGRADE, MT 59714-8580
(406) 600-4136
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-15999
MT
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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