Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 18 | MT |
NPI | 1003124686 |
---|---|
Provider Name | Teresa Carol Golfi |
First Address | Billings, MT 59102 |
Second Address | Billings, MT 59102-6546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2010 |
Last Update Date | 04/10/2021 |