Katie M Ballweber, LCMT
Individual provider Active NPI Massage Therapist · Missoula, MT
NPI 1376893545 · NPPES record last updated Sep 14, 2012
Key facts
- NPI
- 1376893545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LMT-LMT-LIC-2386 (MT)
- Practice address
- 2015 Burlington Ave
Missoula, MT 59801-5425 - Phone
- (406) 546-7762
- NPI assigned
- Sep 14, 2012
- 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-2386 | MT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-LMT-LIC-2386 | MT | Yes |
Addresses
Primary practice location
2015 Burlington Ave
Missoula, MT 59801-5425
Mailing address
2015 Burlington Ave
Missoula, MT 59801-5425
Phone (406) 546-7762
Other providers in Missoula, MT
- Jessica Ballard
- Tim Scott Ballard
- Julie Ballew
- Bernard J Balleweg
- Jean D Ballou
- Trey Banbury
- George Bandow
- Edwin Bangen
- Joey Michele Banks
- Lisandra Josephine Hannah Banks
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 Sep 14, 2012. 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.