Provider Demographics
NPI:1760299226
Name:LINN, CALLIE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:LINN
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6065 BIRDSEYE RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7928
Mailing Address - Country:US
Mailing Address - Phone:425-268-4313
Mailing Address - Fax:
Practice Address - Street 1:6065 BIRDSEYE RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7928
Practice Address - Country:US
Practice Address - Phone:425-268-4313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-27002225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist