Healthcare Provider Details

I. General information

NPI: 1366375602
Provider Name (Legal Business Name): WISDOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 OLD CORVALLIS RD STE F
HAMILTON MT
59840-3213
US

IV. Provider business mailing address

612 N 1ST ST STE 2 - 103
HAMILTON MT
59840-2136
US

V. Phone/Fax

Practice location:
  • Phone: 406-552-8828
  • Fax: 406-519-5468
Mailing address:
  • Phone: 406-802-0088
  • Fax: 406-519-5468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALLISON J SAVAGE
Title or Position: CO-OWNER
Credential: LMT
Phone: 406-552-8828