Doctor Name: | MS. HEIDI DAWN BOWMAN |
NPI Number: | 1154617504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2410 |
Business Practice Address: | 403 Gallatin Farmers Ave Suite 102 Belgrade, MT - 597149142 |
Business Phone Number: | 4063887229 |
Business Fax Number: | 4063887229 |
Mailing Address: | Po Box 160010, BIG SKY |
State: | MT |
Postal Code: | 597160010 |
Phone Number: | 4069957525 |
Fax Number: | 4069957528 |
NPI Enumeration Date: | 06/23/2011 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2410 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |