NPI 1104164193

Jennifer Kay Krack, LMT

Practitioner Specialist Whitefish, MT

Practice location

Address: 119 Central Ave, Whitefish, MT 59937-2548
Phone: (406) 863-9493
Fax: (406) 863-9493

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 1056 MASSAGE THERAPY (MT)

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Registry record

NPI: 1104164193
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2013
Record last updated: 25 Jan 2013

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.