Individual provider · Type 1 NPI
David Jason Erickson I, L.M.T
Massage Therapist · Polson, MT
NPI number
1407255706
Active
Practice location
36084 Caroline Ln
Polson, MT 59860-8442
Mailing address
PO Box 304
Polson, MT 59860-0304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 4008 (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 1407255706
David Jason Erickson I, L.M.T's National Provider Identifier is 1407255706, issued on Aug 22, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Polson, MT. The record was last updated on Aug 22, 2014.