Individual
LISA BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1644 BROADWATER AVE, BILLINGS, MT 59102-5004
(406) 656-7000
Mailing address
1644 BROADWATER AVE, BILLINGS, MT 59102-5004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-6180
MT
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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