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Contact Information

MARY D MANCILLAS LOVELESS, PTA, LMT, C.PED
612 1ST AVE. SO.
GREAT FALLS, MT59401
 Phone: 406-750-2655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for MARY D MANCILLAS LOVELESS · (Female)

NPI Number 1952683542
Status Active
Credentials PTA, LMT, C.PED
Entity Individual
Enumeration date 09/09/2011
Last updated 09/09/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 1096
  • MT License # 568
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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