| NPI | 1770066904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN MARIE GOODRICH Owner 406-924-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |