Individual
MARY WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCBTMB
Contact information
Practice address
95 WHITETAIL LN, CLANCY, MT 59634-9729
(828) 289-5450
Mailing address
95 WHITETAIL LN, CLANCY, MT 59634-9729
(828) 289-5450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-11594
MT
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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