Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 22381 | MT |
NPI | 1013660398 |
---|---|
Provider Name | Michelle L Morrison |
First Address | Bozeman, MT 59718-7031 |
Second Address | Bozeman, MT 59718-7031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2022 |
Last Update Date | 27/01/2022 |