Individual
MISS LINDA MARIA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
428 NUCLEUS AVE, COLUMBIA FALLS, MT 59912-4007
(406) 250-4876
Mailing address
1937 GREATVIEW DR, KALISPELL, MT 59901-8954
(406) 250-4876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16011
MT
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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