Provider Demographics
NPI:1053759001
Name:ROBINSON, BOBBIE JO (LMT,NMT)
Entity type:Individual
Prefix:
First Name:BOBBIE
Middle Name:JO
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMT,NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1194
Mailing Address - Street 2:
Mailing Address - City:CONDON
Mailing Address - State:MT
Mailing Address - Zip Code:59826-1194
Mailing Address - Country:US
Mailing Address - Phone:406-754-7721
Mailing Address - Fax:
Practice Address - Street 1:6295 MT HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:CONDON
Practice Address - State:MT
Practice Address - Zip Code:59826-8702
Practice Address - Country:US
Practice Address - Phone:406-754-7721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1253225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist