Healthcare Provider Details

I. General information

NPI: 1184316606
Provider Name (Legal Business Name): KRISTINA SCHWERTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 STONERIDGE DR
BOZEMAN MT
59718-7042
US

IV. Provider business mailing address

1091 STONERIDGE DR
BOZEMAN MT
59718-7042
US

V. Phone/Fax

Practice location:
  • Phone: 406-624-6599
  • Fax: 888-336-0944
Mailing address:
  • Phone: 406-624-6599
  • Fax: 888-336-0944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-91088
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: