| Braided Water Therapy Llc | |
|
280 W Kagy Blvd Ste D 109 Bozeman MT 59715-6056 | |
| (360) 471-0628 | |
| Not Available |
| Full Name | Braided Water Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 280 W Kagy Blvd Ste D, Bozeman, Montana |
| Authorized Official Name and Position | Claire Lah (ADMINTISTRATOR) |
| Authorized Official Contact | 3604710628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braided Water Therapy Llc 280 W Kagy Blvd Ste D Bozeman MT 59715-6056 Ph: (360) 471-0628 | Braided Water Therapy Llc 280 W Kagy Blvd Ste D 109 Bozeman MT 59715-6056 Ph: (360) 471-0628 |
| NPI Number | 1205545431 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205545431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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