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Organization

MEDICINE HANDS WELLNESS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MORGAN KAYE WATERSTRAAT WOODS DC (OWNER)
(406) 587-6264
Entity
Organization

Contact information

Practice address
1276 N 15TH AVE, SUITE 104, BOZEMAN, MT 59715-3289
(406) 587-6264
(406) 587-3556
Mailing address
1276 N 15TH AVE, SUITE 104, BOZEMAN, MT 59715-3289
(406) 587-6264
(406) 587-3556

Taxonomy

Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
CHI-CHI-LIC-1817
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952675431
NPI - INDIVIDUAL
01
CHI-CHI-LIC-1817
CHIROPRACTIC LICENSE
MT
01
M011003351
MEDICARE PTAN
Enumeration date
05/19/2015
Last updated
05/19/2015
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