Massaj Mahal

NPI #1730550807 in Kalispell, Montana

Provider Information

NPI Number: 1730550807
Entity Type: Organization
Organization Name: Massaj Mahal
Primary Specialty: Specialist
Enumeration Date: Oct 14, 2015
Last Updated: Oct 14, 2015

Practice Location

Address: 22 2ND AVE W
Address 2: 1100
City: Kalispell
State: Montana
ZIP Code: 59901-4466
Phone: (406) 755-6002

Authorized Official

Name: SUSAN ERICKSON, LMT, BLS, BS
Title: PRESIDENT
Phone: (406) 755-6002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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