Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI FACUNDUS BLACK, LMT
Active Sole ProprietorMassage Therapist · PLAINS, MT
Registration Details
- NPI Number
- 1447861703
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2020 (5.6941437774318 yrs)
- Last Updated
- Aug 11, 2020
- License
-
LMT-LMT-LIC-18465 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
195 BOYER STPLAINS, MT, 598595985Browse MT providers · Browse ZIP 59859
- Phone
- 5706371122
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in PLAINS, MT
| Name | Credential | NPI |
|---|---|---|
| JAMIE ANN GIDDINGS | LMT | 1891525770 |
| TESHA L STARK | LMT-MT-20187 | 1730063751 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.