Individual
MISS JESSICA DANIELLE PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
800 KENSINGTON AVE, MISSOULA, MT 59801-5674
(406) 549-9244
Mailing address
1901 S 8TH ST W, #4, MISSOULA, MT 59801-3000
(406) 396-1613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-4000
MT
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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