Individual
HAILI ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1707 OAK ST, SUITE D, BOZEMAN, MT 59715-2125
(406) 587-8446
(406) 587-0898
Mailing address
1707 W OAK ST, SUITE D, BOZEMAN, MT 59715
(406) 587-8446
(406) 587-0898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1321
MT
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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