MEDICARE: DENNIS LEE BAADSGAARD

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	225700000X	Massage Therapist	LMT-LMT-LIC-136	MT

General Provider Information

NPI Number	:	1437822277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS LEE BAADSGAARD

Provider Business Mailing Address
First Line	:	2060 OVERLAND AVE STE B
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-6439
Country	:	US
Telephone Number	:	406-263-4362
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 OVERLAND AVE STE B
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-6439
Country	:	US
Telephone Number	:	406-263-4362
Fax Number	:

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

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	07/28/2021

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Directions to “ DENNIS LEE BAADSGAARD ” Practice Location

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