Individual
MRS. WENDY E BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
500 W BROADWAY ST # LEVEL3, MISSOULA, MT 59802-4008
(406) 531-9641
Mailing address
3618 CREEKWOOD RD, MISSOULA, MT 59802-3012
(406) 549-7246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511215
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
—
Enumeration date
09/23/2009
Last updated
09/23/2009
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