Individual
MRS. ANDRIANA LEIGH STUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A, LMT
Contact information
Practice address
1203 MOUNT AVE, MISSOULA, MT 59801-5601
(406) 543-5251
Mailing address
2421 VALLEY DR, MISSOULA, MT 59802-3145
(406) 549-6661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1382
MT
Other
Enumeration date
11/25/2011
Last updated
12/14/2011
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