Organization
SWEET MEDICINE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY ELIZABETH DEHART OTR (OWNER)
(406) 683-4453
Entity
Organization
Contact information
Practice address
435 S ATLANTIC ST, SUITE 104, DILLON, MT 59725-2726
(406) 683-4453
(406) 683-4453
Mailing address
435 S ATLANTIC ST, SUITE 104, DILLON, MT 59725-2726
(406) 683-4453
(406) 683-4453
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
524
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340323
—
MT
Enumeration date
04/04/2008
Last updated
04/04/2008
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