MEDICARE: ANNASTASIA VALDEZ

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	LMT-LMT-LIC-27173	MT

General Provider Information

NPI Number	:	1922840362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNASTASIA VALDEZ

Provider Business Mailing Address
First Line	:	2304 22ND ST S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-5387
Country	:	US
Telephone Number	:	406-788-3909
Fax Number	:

Provider Business Practice Location Address
First Line	:	3511 1ST AVE N STE 1
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3527
Country	:	US
Telephone Number	:	406-788-3909
Fax Number	:

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

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	01/06/2026

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Directions to “ ANNASTASIA VALDEZ ” Practice Location

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