Individual
TRACY LYNN MIOTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
310 E SEBREE ST, DILLON, MT 59725-2733
(406) 925-2220
Mailing address
125 S WASHINGTON ST, DILLON, MT 59725-2555
(406) 925-2220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-14037
MT
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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