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Individual

SHIRLEY VANDERMYDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2304 N 7TH AVE STE E, BOZEMAN, MT 59715-2571
(406) 388-1335
Mailing address
909 COLORADO ST, BELGRADE, MT 59714-4302
(406) 388-1335

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-260
MT

Other

Enumeration date
02/17/2023
Last updated
02/17/2023
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