Individual
DEBRA SHOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
9062 HAGGERTY LN, BOZEMAN, MT 59715-9258
(406) 586-1514
Mailing address
9062 HAGGERTY LN, BOZEMAN, MT 59715-9258
(406) 586-1514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1016
MT
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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