MEDICARE: MRS. JENNIFER L. ARMITAGE PT

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	225100000X	Physical Therapist	5806	MN
2	225100000X	Physical Therapist	2258	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6404043	OTHER	MN	MEDICA
2	HP41510	OTHER	MN	HEALTH PARTNERS

General Provider Information

NPI Number	:	1841202314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER L. ARMITAGE PT

Provider Business Mailing Address
First Line	:	1276 N 15TH AVE
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-3289
Country	:	US
Telephone Number	:	406-587-2755
Fax Number	:	406-587-2783

Provider Business Practice Location Address
First Line	:	1276 N 15TH AVE
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-3289
Country	:	US
Telephone Number	:	406-587-2755
Fax Number	:	406-587-2783

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	08/27/2009

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