NPI | 1689950347 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN LA BRIE Massage Therapist 406-549-9244 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MT 1208) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |