Brian David Stube LMT,NCTM

NPI 1205183712 - Massage Therapist - 225700000X

NPI Details
NPI 1205183712
Gender Male
Enumeration Date 08/14/2012
Last Updated 08/14/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
800 KENSINGTON AVE STE 201
MISSOULA MT, 59801-5670, US
Phone (406) 549-9244
Fax
Business Location
2500 BLACKTHORN DR
MISSOULA MT, 59803-2540, US
Phone (406) 214-5901
Fax
Toxanomy
Taxonomy Code 225700000X
License State Montana
License Number 3289
Remove 1205183712 NPI Number
 

According to our database, Brian David Stube LMT,NCTM NPI is 1205183712, taxonomy code is 225700000X and license number is 3289, license state is located at Montana. Brian David Stube LMT,NCTM physically located at 800 Kensington Ave Ste 201, Missoula MT, 59801-5670. NPI Number Brian David Stube LMT,NCTM has the Individual type.

Sponsored links

1205183712 NPI number is provided on an as is basis without warranty of any kind. 1205183712 is maintained by the National Plan & Provider Enumeration System. The contents of Brian David Stube LMT,NCTM are for informational purposes only.