person
Ms. Tanya R Stout, LMT
Massage Therapist in Missoula, Montana
NPI 1730685975

Tanya R Stout is a Massage Therapist based in Missoula, MT. Tanya R Stout practices in Missoula, MT and has the professional credentials of LMT. The NPI Number for Tanya R Stout is 1730685975 and holds a License No. LMT-LIC-2019 (Montana).

The current practice location address for Tanya R Stout is 825 W Kent Ave, Missoula, MT and can be reached out via phone at 406-544-6679.

Location: 825 W Kent Ave, Missoula, MT, 59801-6619
person
Provider Profile Details
NPI Number
1730685975
Provider Name
Tanya R Stout
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
825 W Kent Ave, Missoula, MT, 59801-6619
Phone Number
406-544-6679
Fax Number
Provider Enumeration Date
04/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LMT-LIC-2019 01 MT MASSAGE LICENSE
LMT-LIC-2019 01 MT MONTANA BOARD OF MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
825 W Kent Ave
City
State
Zip
59801-6619
Phone Number
406-544-6679
Fax Number
person
Provider Business Mailing Address Details
Address
825 W Kent Ave
City
State
Zip
59801-6619
Phone Number
406-544-6679
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
LMT-LIC-2019 ()
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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