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Individual
KATIE COOK-BRETSON
Active
Individual
KATIE COOK-BRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MED-ACU-LIC-58960
MT
225700000X
Massage Therapist
214
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214
MASSAGE THERAPIST
MT
01
—
537979-07
NCBTMB
—
01
—
MED-ACU-LIC-58960
MONTANA STATE ACUPUNCTURE
MT
Enumeration date
02/28/2008
Last updated
03/17/2018
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