NPI 1093341471

Kelly Jo McCulloch, LMT

Practitioner Massage Therapist Great Falls, MT

Practice location

Address: 2509 7th Ave S C-3, Great Falls, MT 59405-3031
Phone: (406) 868-8046
Fax: (406) 771-6883
Mailing address: 5030 71st Ave SW, Great Falls, MT 59404-5286

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LMT-LIC-1384 (MT)

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Registry record

NPI: 1093341471
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2020
Record last updated: 18 Mar 2020

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.