Individual provider · Type 1 NPI

Lisa Souba, LMT

Massage Therapist · Bozeman, MT

NPI number 1831774090 Active

Practice location

630 Boardwalk Ave Ste 1
Bozeman, MT 59718-4118

Call (406) 600-7267 Map

Mailing address

PO Box 11085
Bozeman, MT 59719-1085

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1831774090

Lisa Souba, LMT's National Provider Identifier is 1831774090, issued on Mar 9, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bozeman, MT. The record was last updated on Mar 9, 2021.