Healthcare Provider Details

I. General information

NPI: 1871179408
Provider Name (Legal Business Name): ALIGN ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 STONERIDGE DR STE 1
BOZEMAN MT
59718-7084
US

IV. Provider business mailing address

1043 STONERIDGE DR STE 1
BOZEMAN MT
59718-7084
US

V. Phone/Fax

Practice location:
  • Phone: 406-551-6391
  • Fax:
Mailing address:
  • Phone: 406-551-6391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: CARISSA HILL
Title or Position: OWNER, ACUPUNCTURIST
Credential: LAC, LMT
Phone: 406-551-6391