NPI 1346647278

Shannon Brooke Angel, NCTMBRYT

Practitioner Contractor Big Sky, MT

Practice location

Address: 169 Snowy Mountain Circle, Big Sky, MT 59716
Phone: (918) 902-5095
Mailing address: 90 W Madison Ave Suite-245, Belgrade, MT 59714-3955

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 8079 (MT)

Other Contractor providers in Montana →

Contractor

Other Service Providers Taxonomy 171W00000X Licence 0016656 (CO)

Registry record

NPI: 1346647278
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2014
Record last updated: 14 Jul 2015

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.