MR. Charles D. Avery, LMT

NPI #1386043289 in Superior, Montana

Provider Information

NPI Number
1386043289
Entity Type
Individual
Name
MR. Charles D. Avery, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Aug 15, 2014
Last Updated
Aug 15, 2014

Practice Location

Address
120 SECOND AVE E.
State
Montana
ZIP Code
59872
Phone
(406) 822-1040

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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