Individual
KATIE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1528 W MAIN ST, BOZEMAN, MT 59715-4010
(406) 624-6039
Mailing address
1528 W MAIN ST, BOZEMAN, MT 59715-4010
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MED-ACU-LIC-59989
MT
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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