Individual
REBECCA PECK MANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 11TH ST W, BILLINGS, MT 59102-4205
(406) 925-0870
Mailing address
1311 11TH ST W, BILLINGS, MT 59102-4205
(406) 925-0870
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-292
MT
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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