Provider Demographics
NPI:1659644243
Name:WILLIAMS ST. CYR, ARIN D (LMT)
Entity type:Individual
Prefix:MS
First Name:ARIN
Middle Name:D
Last Name:WILLIAMS ST. CYR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 E MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-4730
Mailing Address - Country:US
Mailing Address - Phone:406-581-7646
Mailing Address - Fax:
Practice Address - Street 1:448 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4730
Practice Address - Country:US
Practice Address - Phone:406-581-7646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT962225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist