Individual
MARSHA D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6185 PINE CONE DR, CLINTON, MT 59825-9741
(406) 830-7737
Mailing address
1941 S 9TH ST W, MISSOULA, MT 59801-3428
(406) 830-7737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-4228
MT
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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