Individual
SHELBY KAY MIDBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4095 SOUTH AVE W, MISSOULA, MT 59804-6301
(406) 549-9239
Mailing address
4309 23RD AVE, MISSOULA, MT 59803-1144
(406) 529-5378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-4968
MT
Other
Enumeration date
07/20/2017
Last updated
03/17/2018
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