Healthcare Provider Details

I. General information

NPI: 1265216907
Provider Name (Legal Business Name): TAYLOR ANN LAPKE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 JACKRABBIT LN STE A
BELGRADE MT
59714-9128
US

IV. Provider business mailing address

6325 JACKRABBIT LN STE A
BELGRADE MT
59714-9128
US

V. Phone/Fax

Practice location:
  • Phone: 406-388-4988
  • Fax: 406-388-6188
Mailing address:
  • Phone: 406-388-4988
  • Fax: 406-388-6188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number27189
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: