Individual
MISS SARA CHRISTINE ODENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2825 STOCKYARD RD STE A26, MISSOULA, MT 59808-1547
(406) 672-0780
Mailing address
645 BROOKS AVE., MISSOULA, MT 59801
(406) 672-0780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8212
MT
Other
Enumeration date
10/23/2015
Last updated
05/15/2019
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