Individual
LORETTA ANNE MERRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA
Contact information
Practice address
1711 BISON DR, KALISPELL, MT 59901-5104
(406) 890-2758
Mailing address
1711 BISON DR, KALISPELL, MT 59901-5104
(406) 890-2758
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
7693
MT
225700000X
Massage Therapist
Primary
1039
MT
Other
Enumeration date
12/14/2010
Last updated
01/27/2015
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