Individual
VALERIE JEAN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
32 CAMPUS DR, MCGILL HALL 238C, MISSOULA, MT 59812-0003
(406) 243-2703
Mailing address
5505 COTTONWOOD DR S, FLORENCE, MT 59833-6627
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24ATR
MT
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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