Trevor Daniel Boe, LMT
Individual provider Active NPI Massage Therapist · Missoula, MT
NPI 1104675784 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1104675784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LMT-LMT-LIC-24866 (MT)
- Practice address
- 2409 Dearborn Ave Ste E
Missoula, MT 59801-7748 - Phone
- (406) 543-7860
- NPI assigned
- May 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMT-LMT-LIC-24866 | MT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-LMT-LIC-24866 | MT | Yes |
Addresses
Primary practice location
2409 Dearborn Ave Ste E
Missoula, MT 59801-7748
Mailing address
PO Box 35
Seeley Lake, MT 59868-0035
Phone (406) 303-0220
Other providers in Missoula, MT
- Nathan Dale Blumenbach
- Glenn Blumenson
- Anna Joy Boal
- Guy Bodfish
- Barry William Bodle
- Boeson Research LLC
- Kenneth Bogart
- Erin Boggs
- John Charles Bohnert
- Lashawna Jaclyn Bohr
All providers in Missoula, MT · Massage Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.