MEDICARE: STEPHEN MOLEN LMT

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	650	MT

General Provider Information

NPI Number	:	1124708193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN MOLEN LMT

Provider Business Mailing Address
First Line	:	314 1ST AVE N
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-2506
Country	:	US
Telephone Number	:	406-454-0438
Fax Number	:	406-727-8550

Provider Business Practice Location Address
First Line	:	314 1ST AVE N
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-2506
Country	:	US
Telephone Number	:	406-454-0438
Fax Number	:	406-727-8550

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

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	07/24/2023

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Directions to “ STEPHEN MOLEN LMT” Practice Location

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