Individual
TENNILLE CYBIL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
931 HIGHLAND BLVD STE 3130, BOZEMAN, MT 59715-6914
(406) 414-5070
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
529
MT
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-529
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811001290
—
MT
Enumeration date
08/19/2006
Last updated
01/23/2026
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