David Jason Erickson I, L.M.T

NPI #1407255706 in Polson, Montana

Provider Information

NPI Number
1407255706
Entity Type
Individual
Name
David Jason Erickson I, L.M.T
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
L.M.T
Enumeration Date
Aug 22, 2014
Last Updated
Aug 22, 2014

Practice Location

Address
36084 CAROLINE LN
City
Polson
State
Montana
ZIP Code
59860-8442
Phone
(406) 880-0568

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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