Individual
HEIDI ANN SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 N BLACK AVE, BOZEMAN, MT 59715-3606
(406) 522-8685
Mailing address
122 N BLACK AVE, BOZEMAN, MT 59715-3606
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
278
MT
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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