Female

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)

Code

225700000X

Primary Taxonomy

Yes

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

Provider Address

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