Healthcare Provider Details

I. General information

NPI: 1225119977
Provider Name (Legal Business Name): AMAZING TOUCH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 W MAIN ST SUITE 2
BOZEMAN MT
59718-3808
US

IV. Provider business mailing address

2415 W MAIN ST SUITE 2
BOZEMAN MT
59718-3808
US

V. Phone/Fax

Practice location:
  • Phone: 406-595-1928
  • Fax: 406-551-4607
Mailing address:
  • Phone: 406-595-1928
  • Fax: 406-551-4607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number931
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number931
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number931
License Number StateMT

VIII. Authorized Official

Name: DR. HANS CONSER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 406-595-1928