Individual provider · Type 1 NPI

Clinton David Warner I, LMT

Massage Therapist · Missoula, MT

NPI number 1508639782 Active

Practice location

715 Kensington Ave Ste 3A
Missoula, MT 59801-5700

Mailing address

2010 S 6th St W Apt 1
Missoula, MT 59801-3321

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-LMT-LIC-13614 (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 1508639782

Clinton David Warner I, LMT's National Provider Identifier is 1508639782, issued on Oct 31, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Missoula, MT. The record was last updated on Oct 31, 2023.