# AMBULANT ACUPUNCTURE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMBULANT ACUPUNCTURE LLC
- **Other names:** Ambulant Acupuncture
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891314944
- **Legal business name:** AMBULANT ACUPUNCTURE LLC
- **Authorized official:** MARCUS FULLER MACOM LAC LMT (OWNER)
- **Authorized official phone:** (907) 255-8413

## Contact information

- **Practice address:** 300 N WILLSON AVE STE 602F-2, BOZEMAN, MT 59715-3551
- **Practice address phone:** (907) 255-8413
- **Practice address fax:** (406) 720-7899
- **Mailing address:** 300 N WILLSON AVE STE 602F-2, BOZEMAN, MT 59715-3551
- **Mailing address phone:** (907) 255-8413
- **Mailing address fax:** (406) 720-7899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2020
- **Last updated:** 04/09/2020
