Individual
CLARA KIRCHHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1707 OAK ST STE D, BOZEMAN, MT 59715-2125
(406) 587-8446
Mailing address
1126 CRUISER LN, BELGRADE, MT 59714-8586
(406) 587-8446
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4063
MT
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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