Provider Demographics
NPI:1922579168
Name:CALAHAN, BARBARA K (LMT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:CALAHAN
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 1:160 WEDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0171
Mailing Address - Country:US
Mailing Address - Phone:406-437-1311
Mailing Address - Fax:406-204-0025
Practice Address - Street 1:2230 N SANDERS ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-1002
Practice Address - Country:US
Practice Address - Phone:406-465-9679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-11684225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty