Provider Demographics
NPI:1275876492
Name:SLOMINSKI, VICTORIA (LMT, RMT)
Entity Type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:
Last Name:SLOMINSKI
Suffix:
Gender:F
Credentials:LMT, RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 SHEDHORN DR
Mailing Address - Street 2:STE C
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-6938
Mailing Address - Country:US
Mailing Address - Phone:720-675-2161
Mailing Address - Fax:
Practice Address - Street 1:810 N WALLACE AVE UNIT A
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3020
Practice Address - Country:US
Practice Address - Phone:406-282-1611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4131225700000X
CO12765225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist