Individual
MS. JESSICA ELAINE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
228 SENATOR ST, 228 SENATOR ST. EKALAKA, EKALAKA, MT 59324
(406) 853-1290
Mailing address
PO BOX 567, BAKER, MT 59313-0567
(406) 853-1290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-13807
MT
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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