Individual
AUTUMN DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
796B ROGERS WAY, BOZEMAN, MT 59718-2687
(406) 579-9967
Mailing address
796B ROGERS WAY, BOZEMAN, MT 59718-2687
(406) 579-9967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
363
MT
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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