Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Burgundie Miceli, LMT

Individual provider Massage Therapist · NPI 1396413464

Burgundie Miceli, LMT is a Massage Therapist in Missoula, Montana. Practices as a sole proprietor and works from 2 locations. Licensed in Montana.

Licensed in
MT
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

725 W Alder St Ste 3
Missoula, MT 59802-4094
Phone: (406) 298-4969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Westview Dr, Missoula, MT 59803-1527 — (406) 298-4969

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence LMT-LMT-LIC-20146 (MT)

Record details

NPI number1396413464
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 2, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

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