| NPI | 1740321843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM REYNOLDS Licensed Massage Therapist 406-245-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 1105) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |