Individual
NICOLE CAROLYN VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1318 S 3RD ST W STE 3, MISSOULA, MT 59801-2364
(406) 327-5325
Mailing address
1318 S 3RD ST W STE 3, MISSOULA, MT 59801-2364
(406) 327-5325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-2861
MT
Other
Enumeration date
08/14/2012
Last updated
01/05/2016
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