Individual
GENA MAHILOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
3000 MT HIGHWAY 35, KALISPELL, MT 59901-7721
(406) 885-6320
(406) 885-6320
Mailing address
PO BOX 5073, KALISPELL, MT 59903-5073
(406) 885-6320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1189
MT
Other
Enumeration date
11/18/2017
Last updated
11/18/2017
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