Individual
REBECCA JO DANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T. , C. S. T.
Contact information
Practice address
274 OLD CORVALLIS RD UNIT S, HAMILTON, MT 59840-3213
(406) 375-9416
Mailing address
643 GRANTSDALE RD TRLR 17A, HAMILTON, MT 59840-3346
(406) 207-2352
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
533
MT
173C00000X
Reflexologist
533
MT
174400000X
Specialist
533
MT
225700000X
Massage Therapist
Primary
533
MT
251G00000X
Community Based Hospice Care Agency
533
MT
Other
Enumeration date
02/13/2006
Last updated
02/21/2021
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