Individual
KARIN RENEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1940 HARVE AVE STE 2, MISSOULA, MT 59801-8332
(406) 542-0808
(406) 542-0909
Mailing address
1940 HARVE AVE STE 2, MISSOULA, MT 59801-8332
(406) 542-0808
(406) 542-0909
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16432
MT
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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