Individual
BRITTNEA LEE CORDIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
(406) 542-0960
Mailing address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1066
MT
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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