NPI 1003040437

Tiara Z Liberty, CMT

Practitioner Massage Therapist Missoula, MT

Practice location

Address: 1203 Mount Ave, Missoula, MT 59801-5601
Phone: (406) 543-5251
Fax: (406) 543-5251
Mailing address: 1203 Mount Ave, Missoula, MT 59801

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1000319834121 (MT)

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Registry record

NPI: 1003040437
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2009
Record last updated: 13 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.