Kelli Facundus Black, LMT is a
Massage Therapist based in Plains, Montana. Kelli Facundus Black is licensed to practice in Montana (license number LMT-LMT-LIC-18465) and her current practice location is
195 Boyer St, Plains, Montana. She can be reached at her office (for appointments etc.) via phone at
(570) 637-1122.
NPI number for Kelli Facundus Black is 1447861703 and her current mailing address is 45 Rattling Horns Ln, Plains, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447861703.
Healthcare Provider's Profile
Full Name | Kelli Facundus Black |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 195 Boyer St, Plains, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447861703
- Provider Enumeration Date: 08/11/2020
- Last Update Date: 08/11/2020
Medical Identifiers
Medical identifiers for Kelli Facundus Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447861703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | LMT-LMT-LIC-18465 (Montana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Facundus Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelli Facundus Black, LMT 45 Rattling Horns Ln, Plains, MT 59859-9613 Ph: (570) 637-1122 | Kelli Facundus Black, LMT 195 Boyer St, Plains, MT 59859-5985 Ph: (570) 637-1122 |
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