Provider Demographics
NPI:1164673265
Name:ZAKHARCHENKO, LESYA (DNM,MED,LMT)
Entity Type:Individual
Prefix:
First Name:LESYA
Middle Name:
Last Name:ZAKHARCHENKO
Suffix:
Gender:F
Credentials:DNM,MED,LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 BRIDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6768
Mailing Address - Country:US
Mailing Address - Phone:406-670-2570
Mailing Address - Fax:
Practice Address - Street 1:3308 2ND AVE N
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2005
Practice Address - Country:US
Practice Address - Phone:406-670-2570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X, 221700000X
MT633225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist