Suzanne Blaze Selestow
Massage Therapist in Missoula, MT. Individual provider (NPI-1).
NPI number1104589043
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1104589043
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Blaze Selestow
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2021
- Certification date
- Oct 18, 2021
- Last updated
- Oct 18, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
206 S 3rd St WMissoula, MT 59801-2524
Phone 406-926-1881
Mailing address
2445 Clark Fork Ln Apt 301Missoula, MT 59808-5482
Other practice locations
1070 N Russell St
Missoula, MT 59808-2004
Missoula, MT 59808-2004
Phone 406-541-8888
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 186 Massage Therapist providers in Missoula · All 4,716 providers in Missoula
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