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

Teriesa Black Runyan, LMT

Individual provider Massage Therapist · NPI 1902412141

Teriesa Black Runyan, LMT is a Massage Therapist in Great Falls, Montana. Licensed in Montana and Utah. Registered with an NPI since 2020.

Licensed in
MT, UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1308 12th Ave S
Great Falls, MT 59405-4607
Phone: (406) 453-8885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence LMT-LMT-LIC-17904 (MT)
Massage Therapist Taxonomy 225700000X · Licence 260024-4701 (UT)

Record details

NPI number1902412141
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020

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