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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17866 (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.