Provider Demographics
NPI:1013177542
Name:THOMSON, ROBIN JENNIFER (ND)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:JENNIFER
Last Name:THOMSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 SOUTH WALLACE AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715
Mailing Address - Country:US
Mailing Address - Phone:406-219-0049
Mailing Address - Fax:406-219-0087
Practice Address - Street 1:101 SOUTH WALLACE AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715
Practice Address - Country:US
Practice Address - Phone:406-219-0049
Practice Address - Fax:406-219-0087
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT96175F00000X
OR1623175F00000X
MTAHC-NAT-LIC-96175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath