Individual
DANIELLE MARIE YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 N RUSSELL ST, MISSOULA, MT 59808-2004
(406) 830-0558
Mailing address
70 BROOKSIDE WAY, MISSOULA, MT 59802-3278
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
129585
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129585
N/A
—
Enumeration date
04/01/2019
Last updated
04/01/2019
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