Casey Anne Brua, LMT

Individual provider Active NPI Massage Therapist · Whitefish, MT

NPI 1497401160 · NPPES record last updated Mar 8, 2022

Key facts

NPI
1497401160
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
6435 (MT)
Practice address
14 2ND St W Ste B
Whitefish, MT 59937-3036
Phone
(406) 260-3939
NPI assigned
Feb 22, 2022
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
6435MTMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6435 MT Yes

Addresses

Primary practice location

14 2ND St W Ste B
Whitefish, MT 59937-3036

Mailing address

225 Iowa Ave
Whitefish, MT 59937-2328
Phone (406) 260-3939

Other identifiers

IdentifierTypeStateIssuer
041001428531OtherMTMONTANA STATE FUND

Other providers in Whitefish, MT

All providers in Whitefish, MT · Massage Therapist in Montana

Sources for this page

Verify at the official NPI Registry.