Individual
LISA MARIE BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
1871 S 22ND AVE STE 2B, BOZEMAN, MT 59718-7054
(406) 548-7232
Mailing address
2231 REMINGTON WAY APT 105, BOZEMAN, MT 59718-5415
(406) 548-7232
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
03/01/2011
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