Individual provider · Type 1 NPI
Amber Wagstaff, LMT, NMT
Massage Therapist · Kalispell, MT
NPI number
1104234517
Active
Practice location
160 Heritage Way Ste 104
Kalispell, MT 59901-3127
Mailing address
42 Valley View Pl
Kalispell, MT 59901-7711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17866 (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 1104234517
Amber Wagstaff, LMT, NMT's National Provider Identifier is 1104234517, issued on Jul 29, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kalispell, MT. The record was last updated on Jan 13, 2020.