Dustin Thommey Fox, CMT

Individual provider Active NPI Massage Therapist · Livingston, MT

NPI 1942437678 · NPPES record last updated Jun 21, 2009

Key facts

NPI
1942437678
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
NOT REQ. BY STATE (MT)
Practice address
102 Rogers LN
Massage Office
Livingston, MT 59047-4020
Phone
(800) 304-9197
NPI assigned
Jun 21, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
NOT REQ. BY STATEMTMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NOT REQ. BY STATE MT Yes

Addresses

Primary practice location

102 Rogers LN
Massage Office
Livingston, MT 59047-4020

Mailing address

1627 W Main St
PMB 244
Bozeman, MT 59715-4011
Phone (800) 304-9197

Other providers in Livingston, MT

All providers in Livingston, MT · Massage Therapist in Montana

Sources for this page

Verify at the official NPI Registry.