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Individual

NYLA JEAN BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
618 W MAIN ST STE 104, LEWISTOWN, MT 59457-2573
(406) 535-9914
Mailing address
618 W MAIN ST STE 104, LEWISTOWN, MT 59457-2573
(406) 535-9914

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
381
MT

Other

Enumeration date
05/11/2011
Last updated
05/11/2011
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