Provider Demographics
NPI:1407288293
Name:BOND, CHRISTINE KASPER (MS, RD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:KASPER
Last Name:BOND
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N ORANGE ST
Mailing Address - Street 2:3RD FLOOR, SUITE 303
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-2998
Mailing Address - Country:US
Mailing Address - Phone:406-327-3031
Mailing Address - Fax:406-327-3331
Practice Address - Street 1:900 N ORANGE ST
Practice Address - Street 2:3RD FLOOR, SUITE 303
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-2998
Practice Address - Country:US
Practice Address - Phone:406-327-3031
Practice Address - Fax:406-327-3331
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT568133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered