Individual
STEVEN MARK WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
1001 W. OAK ST. BLDG C. STE. 210, BOZEMAN, MT 59715
(406) 587-8446
(406) 587-0898
Mailing address
1001 W. OAK ST. BLDG C. STE. 210, BOZEMAN, MT 59715
(406) 587-8446
(406) 587-0898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13742
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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