Kelly J. Mcculloch LMT
Massage Therapist in Great Falls, MT(View on Map)
Full Name
Kelly Jo Mcculloch LMT
NPI Number
1093341471
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/18/2020
Specialties
(Taxonomies)Licenses
State
Montana
License Number
LMT-LIC-1384
Contact
Information
Purpose
Mailing
Location
Address
5030 71ST AVE SW
2509 7TH AVE S C-3
City
Great Falls
Great Falls
State
MT
MT
Postal Code
59404-5286
59405-3031
Country
US
US
Telephone Number
(406) 868-8046
(406) 868-8046
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/18/2020