NPI 1861740581

Jennifer L Vanderburg, LMT

Practitioner Mechanotherapist Missoula, MT

Practice location

Address: 240 N. Higgins #11, Missoula, MT 59802
Phone: (406) 529-1958
Mailing address: PO Box 111, Dixon, MT 59831

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence LMT-LMT-LIC-675 (MT)

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Registry record

NPI: 1861740581
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2012
Record last updated: 28 Aug 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.