TERIESA BLACK RUNYAN LMT NPI 1902412141

NPI Information

NPI: 1902412141
Provider Name: TERIESA BLACK RUNYAN, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1308 12TH AVE S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 453-8885
Get Directions

Teriesa Black Runyan, LMT is a massage therapist in Great Falls, MT. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Teriesa Black Runyan, LMT NPI is 1902412141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1308 12TH AVE S
GREAT FALLS, MT
ZIP 59405-607
Phone: (406) 453-8885

The enumeration date for this NPI number is 9/22/2020 and was last updated on 9/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		260024-4701	UTAH	No
2	225700000X	Massage Therapist		LMT-LMT-LIC-17904	MONTANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »