NPI 1275393803

Gwen Gates, NBCHWCCPTCTRS

Practitioner Health & Wellness Coach Lakeside, MT

Practice location

Address: 145 Tamarack Woods Dr, Lakeside, MT 59922-9642
Phone: (406) 407-3833
Mailing address: PO Box 637, Lakeside, MT 59922-0637

Registered specialties (2)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence ID-A-3438467 (MT)

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Recreation Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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Registry record

NPI: 1275393803
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2024
Record last updated: 20 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.