Provider Demographics
NPI:1437822277
Name:BAADSGAARD, DENNIS LEE
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:LEE
Last Name:BAADSGAARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 OVERLAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6439
Mailing Address - Country:US
Mailing Address - Phone:406-263-4362
Mailing Address - Fax:
Practice Address - Street 1:2060 OVERLAND AVE STE B
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6439
Practice Address - Country:US
Practice Address - Phone:406-263-4362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-136225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist