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NPI Code Detail

MEDICARE: MS. ANGELA MARIE ELDRIDGE I LMT

MEDICARE: MS. ANGELA MARIE ELDRIDGE I LMT
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
1225700000XMassage TherapistLMT-LMT-LIC-9951MT

General Provider Information

NPI Number : 1487443024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA MARIE ELDRIDGE I LMT
Provider Business Mailing Address
First Line : 1407 WYOMING AVE STE 2
Second Line :
City : BILLINGS
State : MT
Zip : 59102-5301
Country : US
Telephone Number : 406-656-3333
Fax Number : 406-656-6633
Provider Business Practice Location Address
First Line : 1407 WYOMING AVE STE 2
Second Line :
City : BILLINGS
State : MT
Zip : 59102-5301
Country : US
Telephone Number : 406-656-3333
Fax Number : 406-656-6633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2025
Last Update Date : 05/01/2025

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