Organization
MASSAJ MAHAL
Active
Other names
Erickson Neuromuscular Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ERICKSON LMT, BLS, BS (PRESIDENT)
(406) 755-6002
Entity
Organization
Contact information
Practice address
22 2ND AVE W, 1100, KALISPELL, MT 59901-4466
(406) 755-6002
Mailing address
PO BOX 7923, KALISPELL, MT 59904-0923
(406) 755-6002
(888) 350-5332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1062
MT
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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