Provider Demographics
NPI:1083988760
Name:TROTCHIE, SARA JEAN (LMT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:JEAN
Last Name:TROTCHIE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 N HIGGINS AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4457
Mailing Address - Country:US
Mailing Address - Phone:406-450-2862
Mailing Address - Fax:
Practice Address - Street 1:127 N HIGGINS AVE STE 1
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4457
Practice Address - Country:US
Practice Address - Phone:406-450-2862
Practice Address - Fax:406-450-2862
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1388225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist