Healthcare Provider Details

I. General information

NPI: 1891609236
Provider Name (Legal Business Name): CHRISTOPHER WATSCHKE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOBCAT CIRCLE
BOZEMAN MT
59718
US

IV. Provider business mailing address

937 HIGHLAND BLVD STE 5310
BOZEMAN MT
59715-6916
US

V. Phone/Fax

Practice location:
  • Phone: 406-414-1002
  • Fax:
Mailing address:
  • Phone: 406-414-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPRD-PT-LIC-9318
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: