| NPI | 1184150674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANN MARIE MOON Licensed Massage Therapist 406-314-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: MT 1319) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |