Individual provider · Type 1 NPI
Kelli Facundus Black, LMT
Massage Therapist · Plains, MT
NPI number
1447861703
Active
Practice location
195 Boyer St
Plains, MT 59859-5985
Mailing address
45 Rattling Horns Ln
Plains, MT 59859-9613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LMT-LMT-LIC-18465 (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.
Other massage therapist providers in Plains
About NPI 1447861703
Kelli Facundus Black, LMT's National Provider Identifier is 1447861703, issued on Aug 11, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Plains, MT. The record was last updated on Aug 11, 2020.