NPI 1366713562

Tina Cecilie Wambeke

Practitioner Mechanotherapist Three Forks, MT

Practice location

Address: 119 S. Main St. Restoration Massage Therapy, LLC, Three Forks, MT 59752
Phone: (406) 285-4263
Fax: (406) 285-4628
Mailing address: 119 S. Main St. P.O. Box 863, Three Forks, MT 59752-0863

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 1232 (MT)

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Registry record

NPI: 1366713562
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2012
Record last updated: 19 Jan 2012

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.