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
| Taxonomy | Code | License |
|---|---|---|
| Reflexologist | 173C00000X | None listed |
| Massage Therapist Primary | 225700000X | 909 (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.