Provider Demographics
NPI:1235273269
Name:AMIOTTE, TRICIA ANN (NCMT)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:ANN
Last Name:AMIOTTE
Suffix:
Gender:F
Credentials:NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 JACKSON BLVD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-1501
Mailing Address - Country:US
Mailing Address - Phone:605-381-1117
Mailing Address - Fax:
Practice Address - Street 1:2218 JACKSON BLVD
Practice Address - Street 2:SUITE 12
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-1501
Practice Address - Country:US
Practice Address - Phone:605-381-1117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist