Audrey Campbell
Individual provider Active NPI Massage Therapist · Missoula, MT
NPI 1265898423 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1265898423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LMT-LMT-LIC-9813 (MT)
- Practice address
- 800 Kensington Ave Ste 201
Missoula, MT 59801-5670 - Phone
- (406) 549-9244
- Fax
- (406) 549-7260
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- No
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-9813 | MT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-LMT-LIC-9813 | MT | Yes |
Addresses
Primary practice location
800 Kensington Ave Ste 201
Missoula, MT 59801-5670
Mailing address
800 Kensington Ave Ste 201
Missoula, MT 59801-5670
Phone (406) 549-9244
Other providers in Missoula, MT
- Callie Heiskell LLC
- Souta Calling Last
- Isabella Grace Callis
- Dusty Ann Marie Caluori
- Alicia A Camel
- Danielle Campbell
- Julie Ann Campbell
- Kendra Lynn Campbell
- Kimberly Brown Campbell
- Delia C Campfield
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 Jan 4, 2016. 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.