Individual
AVRIELLE CAROLINE SIMONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1174 STONERIDGE DR STE 301, BOZEMAN, MT 59718-9850
(406) 577-6174
Mailing address
315 E BEALL ST, BOZEMAN, MT 59715-3623
(406) 577-6174
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-25362
MT
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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