Healthcare Provider Details

I. General information

NPI: 1487574885
Provider Name (Legal Business Name): CARRIE DAHLKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 9TH ST W STE 7
COLUMBIA FALLS MT
59912-3858
US

IV. Provider business mailing address

1270 SHERMAN RD
KALISPELL MT
59901-8162
US

V. Phone/Fax

Practice location:
  • Phone: 406-261-9948
  • Fax:
Mailing address:
  • Phone: 406-261-9948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberLMT-LMT-LIC-32548
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: