Provider Demographics
NPI:1316321169
Name:DOBBE, ROBIN
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:DOBBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E MAIN ST
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4463
Mailing Address - Country:US
Mailing Address - Phone:406-926-1611
Mailing Address - Fax:406-543-1506
Practice Address - Street 1:127 E MAIN ST
Practice Address - Street 2:SUITE 314
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4463
Practice Address - Country:US
Practice Address - Phone:406-926-1611
Practice Address - Fax:406-543-1506
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-3173225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist