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Mr. Charles D. Avery, LMT
Massage Therapist in Superior, Montana
NPI 1386043289

Charles D. Avery is a Massage Therapist based in Superior, MT. Charles D. Avery practices in Superior, MT and has the professional credentials of LMT. The NPI Number for Charles D. Avery is 1386043289 and holds a License No. LMT-LMT-LIC6171 (Montana).

The current practice location address for Charles D. Avery is 120 Second Ave E., Superior, MT and can be reached out via phone at 406-822-1040.

Location: 120 Second Ave E., Superior, MT, 59872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386043289
Provider Name
Charles D. Avery
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
120 Second Ave E., Superior, MT, 59872
Phone Number
406-822-1040
Fax Number
Provider Enumeration Date
08/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 Second Ave E.
City
Superior
State
Montana
Zip
59872
Phone Number
406-822-1040
Fax Number
person
Provider Business Mailing Address Details
Address
120 Second Ave E.
City
Superior
State
Montana
Zip
59872
Phone Number
406-822-1040
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
LMT-LMT-LIC6171 (Montana)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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