Individual provider · Type 1 NPI

Charles Vickrey, LMT

Massage Therapist · Missoula, MT

NPI number 1649694092 Active

Practice location

2801 Great Northern Loop
Missoula, MT 59808-1745

Call (406) 549-9100 Map

Mailing address

2224 Rattlesnake Drive.
Missoula, MT 59802

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6031 (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 1649694092

Charles Vickrey, LMT's National Provider Identifier is 1649694092, issued on Feb 5, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Missoula, MT. The record was last updated on Feb 5, 2014.