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General NPI Number Information
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NPI Number | 1366375602
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Entity Type | Organization
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Legal Business Name | WISDOM LLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 274 OLD CORVALLIS RD STE F
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City | HAMILTON
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State | MT
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Zip | 59840-3213
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Country | US
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Telephone | 406-552-8828
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Fax | 406-519-5468
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Provider Business Mailing Address
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Address Line | 612 N 1ST ST STE 2 - 103
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City | HAMILTON
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State | MT
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Zip | 59840-2136
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Country | US
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Telephone | 406-802-0088
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Fax | 406-519-5468
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Authorized Official
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Title or Position | CO-OWNER
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Name | ALLISON J SAVAGE
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Credential | LMT
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Telephone | 406-552-8828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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