Individual
ROBIN L ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S 3RD ST W, MISSOULA, MT 59801-2524
(405) 926-1881
Mailing address
909 DEFOE ST APT A, MISSOULA, MT 59802-2452
(406) 880-3583
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-16434
MT
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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