Individual
CHARLOTTE KEATING SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIPL. O.M., MSTCM
Contact information
Practice address
2145 SOUTH AVE W, MISSOULA, MT 59801-6503
(406) 646-6395
Mailing address
716B STODDARD ST, MISSOULA, MT 59802-2502
(415) 846-9530
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MED-ACU-LIC-77381
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171030
NCCAOM
—
01
—
MED-ACU-LIC-77381
MEDICAL LICENSING - STATE OF MONTANA
MT
Enumeration date
07/17/2019
Last updated
07/17/2019
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