Doctor Name: | AMY MARIE FEDDES |
NPI Number: | 1922345024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 366 |
Business Practice Address: | 129 Village Dr Suite 302 Belgrade, MT - 597149618 |
Business Phone Number: | 4065703669 |
Business Fax Number: | |
Mailing Address: | 111 N Shore Dr, #2 BELGRADE |
State: | MT |
Postal Code: | 597149624 |
Phone Number: | 4065703669 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2013 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |