Individual provider · Type 1 NPI

Bonnie Lee Mickelson

Massage Therapist · Columbia Falls, MT

NPI number 1982979126 Active

Practice location

805 Nucleus Ave.
Columbia Falls, MT 59912

Fax (406) 892-4038

Mailing address

597 Legacy Ln
Columbia Falls, MT 59912

Specialties and licenses

TaxonomyCodeLicense
Reflexologist 173C00000XNone listed
Massage Therapist Primary 225700000X909 (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 1982979126

Bonnie Lee Mickelson's National Provider Identifier is 1982979126, issued on Mar 21, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia Falls, MT. The record was last updated on Mar 21, 2012.