Provider Demographics
NPI:1679140438
Name:STEIGELMAN, AMANDA K (LMT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:K
Last Name:STEIGELMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-3410
Mailing Address - Country:US
Mailing Address - Phone:406-388-1446
Mailing Address - Fax:406-388-9607
Practice Address - Street 1:321 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3410
Practice Address - Country:US
Practice Address - Phone:406-388-1446
Practice Address - Fax:406-388-9607
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT15791225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT15791OtherMASSAGE THERAPY