Stephanie J Olsonawski, LMP
Individual provider Active NPI Massage Therapist · Laurel, MT
NPI 1821316563 · NPPES record last updated Oct 1, 2013
Key facts
- NPI
- 1821316563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA22054 (WA)
- Practice address
- 119 E Main St
Laurel, MT 59044-3137 - Phone
- (406) 633-0091
- NPI assigned
- May 5, 2010
- 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 |
|---|---|---|---|
| MA22054 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA22054 | WA | Yes |
Addresses
Primary practice location
119 E Main St
Laurel, MT 59044-3137
Mailing address
119 E Main St
Laurel, MT 59044-3137
Phone (406) 633-0091
Other providers in Laurel, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2013. 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.