IndividualActive
Eugene Statelen, LICENSED MASSAGE THE
NPI 1740620830 · Specialist · Missoula, MT
Provider details
- NPI number
- 1740620830
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LICENSED MASSAGE THE
- Sex
- Male
- Sole proprietor
- No
- License
- 590 (MT)
Specialties & taxonomies
Other Service Providers
Practice location
2801 Great Northern Loop
Missoula, MT 59808-1745
Phone: (406) 370-4474
Approximate (ZIP-level) locationGet directions
Mailing address
2798 Rich Ct
Missoula, MT 59804-7125
Registry dates
- Enumerated
- 2013-07-03
- Last updated
- 2013-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.