| Kelli Facundus Black, LMT | |
|
195 Boyer St, Plains, MT 59859-5985 | |
| (570) 637-1122 | |
| Not Available |
| Full Name | Kelli Facundus Black |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 195 Boyer St, Plains, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447861703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | LMT-LMT-LIC-18465 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Facundus Black, LMT 45 Rattling Horns Ln, Plains, MT 59859-9613 Ph: (570) 637-1122 | Kelli Facundus Black, LMT 195 Boyer St, Plains, MT 59859-5985 Ph: (570) 637-1122 |
Tesha L Stark, LMT-MT-20187 Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 7671 Mt Highway 200, Plains, MT 59859 Phone: 406-210-4309 | |
Jamie Ann Giddings, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Boyer St., Plains, MT 59859 Phone: 406-499-1578 |