Provider Demographics
NPI:1447065685
Name:TAI, LEI (LMT)
Entity type:Individual
Prefix:
First Name:LEI
Middle Name:
Last Name:TAI
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 1:301 SADDLE DR STE F
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8026
Mailing Address - Country:US
Mailing Address - Phone:406-465-9679
Mailing Address - Fax:406-204-0025
Practice Address - Street 1:301 SADDLE DR STE F
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8026
Practice Address - Country:US
Practice Address - Phone:406-465-9679
Practice Address - Fax:406-204-0025
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT27112225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist