Healthcare Provider Details

I. General information

NPI: 1114858206
Provider Name (Legal Business Name): ALINA LEE GONZALES LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S DAKOTA ST
BUTTE MT
59701-2038
US

IV. Provider business mailing address

2941 FLORAL BLVD
BUTTE MT
59701-4119
US

V. Phone/Fax

Practice location:
  • Phone: 406-533-8500
  • Fax:
Mailing address:
  • Phone: 406-533-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number18066
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: