NPI 1063005072
Lisa Louise Wortman, LMT
Practice location
- Address
- 810 N Wallace Ave, Bozeman, MT 59715-3020
- Phone
- (406) 920-0614
- Mailing address
- 705 E Mendenhall St # a, Bozeman, MT 59715-3820
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1063005072
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Feb 2021
- Record last updated
- 1 Dec 2021
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.