MEDICARE: LENA MCANALLY LMT,NMT

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	174400000X	Specialist	LMT-LMT-LIC-15856	MT
2	225700000X	Massage Therapist	LMT-LMT-LIC-15856	MT

General Provider Information

NPI Number	:	1538725999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENA MCANALLY LMT,NMT

Provider Business Mailing Address
First Line	:	700 GRIZZLY DR
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-3819
Country	:	US
Telephone Number	:	406-468-8921
Fax Number	:

Provider Business Practice Location Address
First Line	:	316 CENTRAL AVE W
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-2845
Country	:	US
Telephone Number	:	406-468-8921
Fax Number	:

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

Provider Enumeration Date	:	05/11/2019
Last Update Date	:	04/01/2026

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