Provider Demographics
NPI:1629430004
Name:MORLEDGE, LAURA (LMT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MORLEDGE
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 1:710 GRAND AVE
Mailing Address - Street 2:#4
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-5852
Mailing Address - Country:US
Mailing Address - Phone:406-794-9519
Mailing Address - Fax:
Practice Address - Street 1:710 GRAND AVE
Practice Address - Street 2:#4
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-5852
Practice Address - Country:US
Practice Address - Phone:406-794-9519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5872225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist