Individual
BRENNA DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 W MAIN ST, BOZEMAN, MT 59715-3357
(406) 586-3390
Mailing address
PO BOX 10261, BOZEMAN, MT 59719-0261
(425) 686-4349
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-10017
MT
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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