MEDICARE: LESYA ZAKHARCHENKO D.N.M.,MED,LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath
2	225700000X	Massage Therapist	633	MT
3	221700000X	Art Therapist

General Provider Information

NPI Number	:	1164673265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESYA ZAKHARCHENKO D.N.M.,MED,LMT

Provider Business Mailing Address
First Line	:	46 BRIDLEWOOD DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-6768
Country	:	US
Telephone Number	:	406-670-2570
Fax Number	:

Provider Business Practice Location Address
First Line	:	3308 2ND AVE N
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-2005
Country	:	US
Telephone Number	:	406-670-2570
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2008
Last Update Date	:	09/02/2010

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