Individual
MS. MARINA ANN GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
511 N 30TH ST, BILLINGS, MT 59101-1139
(406) 633-1479
Mailing address
531 JUDITH LN, TRLR #14, BILLINGS, MT 59105
(406) 633-1479
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7895
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242821
L&I
WA
01
—
348851
CNA
MT
01
—
4581GA
REGENCE
WA
01
—
8949448
DSHS
WA
01
—
LMT-LIC 7895
MASSAGE THERAPIST
MT
Enumeration date
05/22/2007
Last updated
06/04/2015
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