Individual
MRS. TAMMY SUE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
205 OHIO STREET, CHINOOK, MT 59523
(406) 357-3000
Mailing address
205 OHIO STREET, CHINOOK, MT 59523
(406) 357-3000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
152
MT
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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