Individual provider · Type 1 NPI
Tabbetha Ann Clouse-Petero
Massage Therapist · Kalispell, MT
NPI number
1689579625
Active
Practice location
2141 3rd Ave E
Kalispell, MT 59901-5761
Mailing address
PO Box 1966
Columbia Falls, MT 59912-1966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LMT-LMT-LIC-34355 (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 1689579625
Tabbetha Ann Clouse-Petero's National Provider Identifier is 1689579625, issued on Oct 9, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kalispell, MT. The record was last updated on Oct 9, 2026.