Individual
MELISSA SENA MICULKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1630 S 11TH ST W APT A, MISSOULA, MT 59801-4874
(406) 223-0721
Mailing address
1630 S 11TH ST W APT A, MISSOULA, MT 59801-4874
(406) 223-0721
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
53
MT
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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