Davis, Marla Ann
Davis, Marla Ann is an individual health care provider with primary practice located at 1648 Ellis St , Bozeman MT 59715-8811. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Davis, Marla Ann can be contacted via phone (406) 585-4642.Contact Information
Primary practice address
1648 Ellis St
Bozeman MT 59715-8811
Phone: (406) 585-4642
Fax: (406) 585-2878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1985PT | Montana |
Profile Details
| NPI number | 1164463642 |
|---|---|
| LBN Legal business name | Davis, Marla Ann |
| Credentials | LPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164463642 | NPPES |
| Montana | MEDICAID | 3402210 |
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