MEDICARE: JACOB VAN NORMAN 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-9839	MT

General Provider Information

NPI Number	:	1881135739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB VAN NORMAN LMT

Provider Business Mailing Address
First Line	:	1625 HARRISON AVE
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-5401
Country	:	US
Telephone Number	:	406-565-8443
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 HARRISON AVE
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-5401
Country	:	US
Telephone Number	:	406-565-8443
Fax Number	:

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

Provider Enumeration Date	:	03/11/2017
Last Update Date	:	03/11/2017

Similar Medicare Providers

1588515258 — TRACI W. REISER MFTC
Practice Location Address:

48 CINNAMON MOUNTAIN RD
CRESTED BUTTE, CO
81225-5401

Practice Phone: 512-247-8453
Practice Fax:

1518819051 — JILL HOTALEN PTA
Practice Location Address:

3251 NETTIE ST
BUTTE, MT
59701-6531

Practice Phone: 406-723-3225
Practice Fax:

1013869346 — LEIGH ANN HOLMES RN
Practice Location Address:

1554 HARRISON AVE STE C
BUTTE, MT
59701-4859

Practice Phone: 406-299-3777
Practice Fax: 406-299-2730

1407877475 — BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Practice Location Address:

1145 S MONTANA ST
BUTTE, MT
59701-2857

Practice Phone: 406-496-6026
Practice Fax: 406-723-4076

1891886768 — BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Practice Location Address:

445 CENTENNIAL AVE
BUTTE, MT
59701-2870

Practice Phone: 406-496-6007
Practice Fax:

1285725143 — BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Practice Location Address:

445 CENTENNIAL AVE
BUTTE, MT
59701-2870

Practice Phone: 406-723-4075
Practice Fax: 406-723-3059

Directions to “ JACOB VAN NORMAN LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.