Provider Demographics
NPI:1437360146
Name:NETLEY, DEBRA J (CMT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:J
Last Name:NETLEY
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 W PARK ST
Mailing Address - Street 2:SUITE #8
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-2955
Mailing Address - Country:US
Mailing Address - Phone:406-223-3799
Mailing Address - Fax:
Practice Address - Street 1:1106 W PARK ST
Practice Address - Street 2:SUITE #8
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-2955
Practice Address - Country:US
Practice Address - Phone:406-223-3799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist