Individual
POLLY VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2622 W MAIN ST, STE. B, BOZEMAN, MT 59718-3967
(406) 587-9679
Mailing address
2622 W MAIN ST, STE. B, BOZEMAN, MT 59718-3967
(406) 587-9679
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7882
MT
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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