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Kelli Facundus Black, LMT
Massage Therapist in Plains, Montana
NPI 1447861703

Kelli Facundus Black is a Massage Therapist based in Plains, MT. Kelli Facundus Black practices in Plains, MT and has the professional credentials of LMT. The NPI Number for Kelli Facundus Black is 1447861703 and holds a License No. LMT-LMT-LIC-18465 (Montana).

The current practice location address for Kelli Facundus Black is 195 Boyer St, Plains, MT and can be reached out via phone at 570-637-1122.

Location: 195 Boyer St, Plains, MT, 59859-9613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447861703
Provider Name
Kelli Facundus Black
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
195 Boyer St, Plains, MT, 59859-9613
Phone Number
570-637-1122
Fax Number
Provider Enumeration Date
08/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
195 Boyer St
City
Plains
State
Montana
Zip
59859-5985
Phone Number
570-637-1122
Fax Number
person
Provider Business Mailing Address Details
Address
195 Boyer St
City
Plains
State
Montana
Zip
59859-5985
Phone Number
570-637-1122
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-LIC-18465 (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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