Individual
HEATHER SUE REPAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
50 27TH ST W, SUITE B, BILLINGS, MT 59102-8601
(406) 651-9099
(406) 651-4332
Mailing address
1233 N 30TH ST, BILLINGS, MT 59101-0127
(406) 238-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
960PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346834
—
MT
01
—
60658
BCBS
MT
Enumeration date
01/19/2007
Last updated
01/23/2017
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