Doctor Name: | MISS JESSICA DANIELLE PRATT |
NPI Number: | 1730420357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | LMT-LMT-LIC-4000 |
Business Practice Address: | 800 Kensington Ave Missoula, MT - 598015674 |
Business Phone Number: | 4065499244 |
Business Fax Number: | |
Mailing Address: | 1901 S 8th St W, #4 MISSOULA |
State: | MT |
Postal Code: | 598013000 |
Phone Number: | 4063961613 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2013 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | LMT-LMT-LIC-4000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |