Individual provider · Type 1 NPI

John Ellis, LMT, NMT

Massage Therapist · Kalispell, MT

NPI number 1194189407 Active

Practice location

77 3rd Avenue West N
Kalispell, MT 59901-4049

Call (407) 752-3105 Map

Mailing address

PO Box 130070
Coram, MT 59913-0070

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6534 (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 1194189407

John Ellis, LMT, NMT's National Provider Identifier is 1194189407, issued on Apr 12, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kalispell, MT. The record was last updated on Apr 12, 2016.