NPI 1013579127

Michael John Nelson, LMT

Practitioner Massage Therapist Whitefish, MT

Practice location

Address: 505 Spokane Ave, Whitefish, MT 59937-2780
Phone: (406) 862-1071

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LMT-LMT-LIC-15833 (MT)

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Registry record

NPI: 1013579127
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2019
Record last updated: 28 Jun 2019

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.