NPI 1104234517

Amber Wagstaff, LMTNMT

Practitioner Massage Therapist Kalispell, MT

Practice location

Address: 160 Heritage Way STE 104, Kalispell, MT 59901-3127
Phone: (208) 916-7971
Mailing address: 42 Valley View Pl, Kalispell, MT 59901-7711

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 17866 (MT)

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Registry record

NPI: 1104234517
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2014
Record last updated: 13 Jan 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.