| Doctor Name: | AMY SLABAUGH |
| NPI Number: | 1235562893 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT, LMT |
| License Number: | MA 60389508 |
| Business Practice Address: | 1532 Ellis St #201 Bozeman, MT - 597158808 |
| Business Phone Number: | 4065874501 |
| Business Fax Number: | |
| Mailing Address: | 6111 Shadow Cir, BOZEMAN |
| State: | MT |
| Postal Code: | 597158384 |
| Phone Number: | 4065991608 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2013 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MA 60389508 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |