Individual
IAN BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
216 N 14TH ST, BISMARCK, ND 58501-4624
(701) 888-9205
Mailing address
1212 BAYVIEW CT, BISMARCK, ND 58504-7088
(701) 979-4842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21167
ND
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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