Individual provider · Type 1 NPI

Trevor Daniel Boe, LMT

Massage Therapist · Missoula, MT

NPI number 1104675784 Active

Practice location

2409 Dearborn Ave Ste E
Missoula, MT 59801-7748

Mailing address

PO Box 35
Seeley Lake, MT 59868-0035

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-LMT-LIC-24866 (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 1104675784

Trevor Daniel Boe, LMT's National Provider Identifier is 1104675784, issued on May 15, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Missoula, MT. The record was last updated on May 15, 2024.