MEDICARE: RACHEL BORNTRAGER NBCHWC

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1295313096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BORNTRAGER NBCHWC

Provider Business Mailing Address
First Line	:	26 9 MILE RD
Second Line	:
City	:	RAYMOND
State	:	MT
Zip	:	59256-7500
Country	:	US
Telephone Number	:	406-765-7259
Fax Number	:

Provider Business Practice Location Address
First Line	:	626 W 1ST AVE
Second Line	:
City	:	PLENTYWOOD
State	:	MT
Zip	:	59254-1504
Country	:	US
Telephone Number	:	406-765-7259
Fax Number	:

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

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	04/01/2021

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Directions to “ RACHEL BORNTRAGER NBCHWC” Practice Location

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