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Individual

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Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2515 MAIN ST STE 1, MILES CITY, MT 59301-3859
(406) 421-0939
Mailing address
900 ALBERT DR TRLR 72, MILES CITY, MT 59301-2232
(406) 421-0939

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-30582
MT

Other

Enumeration date
08/13/2025
Last updated
08/13/2025
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