Individual provider · Type 1 NPI

Kelly Jo McCulloch, LMT

Massage Therapist · Great Falls, MT

NPI number 1093341471 Active

Practice location

2509 7th Ave S C-3
Great Falls, MT 59405-3031

Call (406) 868-8046 Map

Fax (406) 771-6883

Mailing address

5030 71st Ave SW
Great Falls, MT 59404-5286

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-LIC-1384 (MT)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1093341471

Kelly Jo McCulloch, LMT's National Provider Identifier is 1093341471, issued on Mar 18, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Great Falls, MT. The record was last updated on Mar 18, 2020.