Individual
KELSEY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6945 LINDA VISTA BLVD, MISSOULA, MT 59803
(406) 544-0459
Mailing address
6945 LINDA VISTA BLVD, MISSOULA, MT 59803-2743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13895
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13895
LMT
MT
Enumeration date
04/12/2018
Last updated
04/12/2018
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