| 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 |