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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LMT-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.