Individual
TIA BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 COMMONS WAY STE B, KALISPELL, MT 59901-1915
(406) 752-5170
(406) 752-5210
Mailing address
248 SHERMAN LN, BIGFORK, MT 59911-6057
(406) 260-1072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
160698
MT
Other
Enumeration date
07/05/2022
Last updated
08/11/2025
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