NPI 1699044693

Charlene Kay Bouma, PTA

Practitioner Community Health Worker Conrad, MT

Practice location

Address: 805 Sunset Blvd, Conrad, MT 59425-1717
Phone: (406) 271-2295
Mailing address: 305 S Dakota St, Conrad, MT 59425-2414

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 1581 (MT)

Other Community Health Worker providers in Montana →

Registry record

NPI: 1699044693
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2011
Record last updated: 20 Dec 2011

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.