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Individual

MYA D. MONTEITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
610 WEST AVE STE A-2, RICE LAKE, WI 54868-1386
(715) 296-7467
(888) 262-0191
Mailing address
2413 105TH ST, LUCK, WI 54853-5141
(171) 597-7234

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
WI
174N00000X
Lactation Consultant (Non-RN)
225700000X
Massage Therapist
Primary
11559-146
WI
374J00000X
Doula
WI

Other

Enumeration date
02/22/2023
Last updated
02/22/2023
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