Individual
MS. VANDY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3487 W BROADWAY ST, MISSOULA, MT 59808-5674
(406) 721-9080
(406) 721-9008
Mailing address
340 S 2ND ST W, MISSOULA, MT 59801-1840
(808) 854-5775
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-5993
MT
Other
Enumeration date
07/16/2008
Last updated
06/23/2015
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