# KISMET BZN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WEL-Home Health of Bozeman
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518949981
- **Authorized official:** MICHAEL L. MOORE (CFO)
- **Authorized official phone:** (605) 642-7736

## Contact information

- **Practice address:** 205 N TRACY AVE, BOZEMAN, MT 59715-3564
- **Practice address phone:** (406) 587-8710
- **Mailing address:** 205 N TRACY AVE, BOZEMAN, MT 59715-3564
- **Mailing address phone:** (406) 587-8710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 03/18/2019