Andrea M. Ellestad, Llc

NPI 1124396601 - Massage Therapist - 225700000X

NPI Details
NPI 1124396601
Enumeration Date 12/12/2011
Last Updated 12/12/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANDREA M. ANDREA
Position MANAGER
Phone (406) 203-6207
Fax
Practice Location
1320 S 3RD ST W
MISSOULA MT, 59801-2332, US
Phone (406) 203-6207
Fax
Business Location
PO BOX 411
13400 BALSAMROOT RD.
LOLO MT, 59847, US
Phone (406) 203-6207
Fax
Toxanomy
Taxonomy Code 225700000X
License State Montana
License Number 1098
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According to our database, Andrea M. Ellestad, Llc NPI is 1124396601, taxonomy code is 225700000X and license number is 1098, license state is located at Montana. Andrea M. Ellestad, Llc physically located at 1320 S 3rd St W, Missoula MT, 59801-2332. NPI Number 1033115704 has the healthcare provider type.

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1124396601 NPI number is provided on an as is basis without warranty of any kind. 1124396601 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea M. Ellestad, Llc are for informational purposes only.