Individual
RILEY ALYSE UNGARETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 S WYOMING ST, BUTTE, MT 59701-2655
(406) 249-8714
Mailing address
1955 WALL ST, BUTTE, MT 59701-5523
(406) 249-8714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
80765
MT
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC1574
MT
390200000X
Student in an Organized Health Care Education/Training Program
80765
MT
Other
Enumeration date
01/18/2017
Last updated
01/10/2023
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