Individual
MRS. TIA CHEYENNE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
612 E MAIN ST, C, BOZEMAN, MT 59715-3719
(406) 522-3722
Mailing address
110 S YELLOWSTONE AVE, APT. 2, BOZEMAN, MT 59718-1913
(406) 698-8467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-4729
MT
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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