Lisa Louise Wortman, LMT

NPI #1063005072 in Bozeman, Montana

Provider Information

NPI Number: 1063005072
Entity Type: Individual
Name: Lisa Louise Wortman, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 19, 2021
Last Updated: Dec 1, 2021

Practice Location

Address: 810 N WALLACE AVE
City: Bozeman
State: Montana
ZIP Code: 59715-3020
Phone: (406) 920-0614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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