Individual provider · Type 1 NPI

Eugene Statelen, LICENSED MASSAGE THE

Specialist · Missoula, MT

NPI number 1740620830 Active

Practice location

2801 Great Northern Loop
Missoula, MT 59808-1745

Call (406) 370-4474 Map

Mailing address

2798 Rich Ct
Missoula, MT 59804-7125

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X590 (MT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1740620830

Eugene Statelen, LICENSED MASSAGE THE's National Provider Identifier is 1740620830, issued on Jul 3, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Missoula, MT. The record was last updated on Aug 28, 2013.