Individual
MR. ERIC JACOB MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 S 3RD ST W, MISSOULA, MT 59804-1143
(406) 207-9480
Mailing address
2601 S 3RD ST W, MISSOULA, MT 59804-1143
(406) 207-9480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/18/2010
Last updated
08/20/2012
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