Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2898 | MT |
NPI | 1003238114 |
---|---|
Provider Name | Ashlee Yerrick |
First Address | Belgrade, MT 59714-7900 |
Second Address | Belgrade, MT 59714-7900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2014 |
Last Update Date | 08/01/2014 |