Eliza Clayton, LMT

Individual provider Active NPI Massage Therapist · Whitefish, MT

NPI 1306129010 · NPPES record last updated Sep 20, 2011

Key facts

NPI
1306129010
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
265 (MT)
Practice address
211 Central Ave
Whitefish, MT 59937-2661
Phone
(406) 253-5867
NPI assigned
Sep 20, 2011
Sex
Female
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

LicenseStateTypeSpecialty
265MTMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 265 MT Yes

Addresses

Primary practice location

211 Central Ave
Whitefish, MT 59937-2661

Mailing address

211 4TH St W
Whitefish, MT 59937-3026
Phone (406) 253-5867

Other providers in Whitefish, MT

All providers in Whitefish, MT · Massage Therapist in Montana

Sources for this page

Verify at the official NPI Registry.