Whalio Doctors

NPI 1063005072

Lisa Louise Wortman, LMT

Practitioner Massage Therapist Bozeman, MT

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2960 (MT)

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.