MEDICARE: DARLENE LOUISE WOODEN LEGS-LOOKS BEHIND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1154033389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE LOUISE WOODEN LEGS-LOOKS BEHIND

Provider Business Mailing Address
First Line	:	821 N 27TH ST # 262
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1121
Country	:	US
Telephone Number	:	406-671-2122
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 RICHARD ST
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-9219
Country	:	US
Telephone Number	:	406-671-2122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	06/04/2025

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Directions to “ DARLENE LOUISE WOODEN LEGS-LOOKS BEHIND ” Practice Location

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