Individual provider · Type 1 NPI
Gena Mahilom, MASSAGE THERAPIST
Massage Therapist · Kalispell, MT
NPI number
1629582283
Active
Practice location
3000 Mt Highway 35
Kalispell, MT 59901-7721
Fax (406) 885-6320
Mailing address
PO Box 5073
Kalispell, MT 59903-5073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 1189 (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 1629582283
Gena Mahilom, MASSAGE THERAPIST's National Provider Identifier is 1629582283, issued on Nov 18, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kalispell, MT. The record was last updated on Nov 18, 2017.