Individual
MARLA ANN DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1648 ELLIS ST, BOZEMAN, MT 59715-8811
(406) 585-4642
(406) 585-2878
Mailing address
71 N SHORE DR, BELGRADE, MT 59714-9605
(406) 585-4642
(406) 585-2878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1985PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402210
—
MT
Enumeration date
06/08/2006
Last updated
07/08/2007
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