=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073803904
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RHONDA LEE GABEL TORCZON LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2011
-----------------------------------------------------
Last Update Date | 03/11/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 GRAND AVE
-----------------------------------------------------
City | BILLINGS
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59101-6019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-698-4869
-----------------------------------------------------
Fax | 406-967-4869
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 GRAND AVE
-----------------------------------------------------
City | BILLINGS
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59101-6019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-698-4869
-----------------------------------------------------
Fax | 406-967-4869
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 202
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------