Individual
CALLIE RANAE BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2417 W MAIN ST STE 1, BOZEMAN, MT 59718-3810
(406) 570-8792
Mailing address
2417 W MAIN ST STE 1, BOZEMAN, MT 59718-3810
(406) 570-8792
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MED-ACU-LIC-30564
MT
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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