Provider Demographics
NPI:1295999639
Name:CALLING LAST, SOUTA (CMT)
Entity type:Individual
Prefix:
First Name:SOUTA
Middle Name:
Last Name:CALLING LAST
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 S RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-3511
Mailing Address - Country:US
Mailing Address - Phone:406-543-8500
Mailing Address - Fax:
Practice Address - Street 1:1116 S RUSSELL ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-3511
Practice Address - Country:US
Practice Address - Phone:406-543-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist