Individual
MS. ROSEMARY A STOUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
415 N HIGGINS AVE STE 128, MISSOULA, MT 59802-4563
(406) 880-8060
Mailing address
336 S 5TH ST E APT 3, MISSOULA, MT 59801-2742
(406) 880-8060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
00020119
WA
225700000X
Massage Therapist
Primary
1314
MT
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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