| Vibrant Life Therapy Llc | |
|
304 Gallatin Park Dr Unit 207 Bozeman MT 59715-7945 | |
| (406) 600-3300 | |
| (406) 404-1041 |
| Full Name | Vibrant Life Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 304 Gallatin Park Dr Unit 207, Bozeman, Montana |
| Authorized Official Name and Position | Rebekah Leigh Driessen Patrick (OWNER) |
| Authorized Official Contact | 4066003300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Life Therapy Llc 1807 W Dickerson St Ste D Bozeman MT 59715-1311 Ph: (406) 600-3300 | Vibrant Life Therapy Llc 304 Gallatin Park Dr Unit 207 Bozeman MT 59715-7945 Ph: (406) 600-3300 |
| NPI Number | 1366100711 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366100711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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