MEDICARE: MARILYN FLORENCE SCHNEIDER CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1356415277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN FLORENCE SCHNEIDER CMT

Provider Business Mailing Address
First Line	:	2601 3RD AVE N
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-2854
Country	:	US
Telephone Number	:	406-453-0648
Fax Number	:

Provider Business Practice Location Address
First Line	:	914 13TH AVE S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4406
Country	:	US
Telephone Number	:	406-761-3767
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

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