Individual provider · Type 1 NPI

Suzanne Blaze Selestow

Massage Therapist · Missoula, MT

NPI number 1104589043 Active

Practice location

206 S 3rd St W
Missoula, MT 59801-2524

Mailing address

2445 Clark Fork Ln Apt 301
Missoula, MT 59808-5482

Other practice locations

  • 1070 N Russell St, Missoula, MT 59808-2004 · (406) 541-8888

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1104589043

Suzanne Blaze Selestow's National Provider Identifier is 1104589043, issued on Oct 18, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Missoula, MT. The record was last updated on Oct 18, 2021.