Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | AHC-NAT-LIC-2133 | MT |
NPI | 1053919811 |
---|---|
Provider Name | Dr. Samantha Lynn Reap |
First Address | Butte, MT 59701-3187 |
Second Address | Butte, MT 59701-9106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2020 |
Last Update Date | 14/10/2020 |