MEDICARE: MATTHEW WEBER 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	LMT-LMT-LIC-20127	MT

General Provider Information

NPI Number	:	1487516241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW WEBER LMT

Provider Business Mailing Address
First Line	:	379 CHASE WAY APT B
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-5433
Country	:	US
Telephone Number	:	406-589-9856
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 W MAIN ST STE 6
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-3977
Country	:	US
Telephone Number	:	406-589-9856
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ MATTHEW WEBER LMT” Practice Location

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