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Contact Information

JENNIFER L VANDERBURG, LMT
240 N. HIGGINS #11
MISSOULA, MT59802
 Phone: 406-529-1958
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for JENNIFER L VANDERBURG · (Female)

NPI Number 1861740581
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 08/28/2012
Last updated 08/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # LMT-LMT-LIC-675
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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