EUGENE STATELEN, LICENSED MASSAGE THE

Specialist

Active Individual
NPI: 1740620830

Practice Address

2801 GREAT NORTHERN LOOP
Missoula, MT 59808

Phone: (406) 370-4474

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 590 (MT)

Frequently Asked Questions

NPI 1740620830 is the National Provider Identifier for EUGENE STATELEN, LICENSED MASSAGE THE, a Specialist provider located in Missoula, MT. This NPI was enumerated on July 3, 2013.
EUGENE STATELEN, LICENSED MASSAGE THE practices at 2801 GREAT NORTHERN LOOP, Missoula, MT 59808.

Quick Facts

NPI
1740620830
Type
Individual
Enumerated
Jul 3, 2013
Last Updated
Aug 28, 2013

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