Individual
WENDY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 SPOKANE AVE, 505 SPOKANE AVE., WHITEFISH, MT 59937-2780
(406) 250-7848
Mailing address
505 SPOKANE AVE, P.O. BOX 13, WHITEFISH, MT 59937-2780
(406) 250-7848
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-414
MT
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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