Provider Demographics
NPI:1134539513
Name:FORBES, DONNALEE RUTH (LMT)
Entity type:Individual
Prefix:
First Name:DONNALEE
Middle Name:RUTH
Last Name:FORBES
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 1:1720 2ND ST E
Mailing Address - Street 2:PO BOX 1204
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8150
Mailing Address - Country:US
Mailing Address - Phone:406-863-9412
Mailing Address - Fax:
Practice Address - Street 1:1720 2ND ST E
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-8150
Practice Address - Country:US
Practice Address - Phone:406-863-9412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-6074225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist