Individual
LYDIA RUTH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 W KOCH ST, BOZEMAN, MT 59715-4127
(406) 577-2650
Mailing address
1811 W KOCH ST, BOZEMAN, MT 59715-4127
(406) 577-2650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13887
MT
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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