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Debra Shope, Massage therapist

Massage Therapist in Bozeman, MT. Individual provider (NPI-1).

NPI number1083175822
StatusActive
Last updated in NPPESMar 26, 2019

Details

NPI
1083175822
Entity type
Individual (NPI-1)
Name
Debra Shope
Credential
Massage therapist
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 26, 2019
Last updated
Mar 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist1016MTYes

Practice location

9062 Haggerty Ln
Bozeman, MT 59715-9258

Phone 406-586-1514

Mailing address

9062 Haggerty Ln
Bozeman, MT 59715-9258

Phone 406-586-1514

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