Provider Demographics
NPI:1215075023
Name:GEE, AMANDA MARIE (CPHT)
Entity type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:MARIE
Last Name:GEE
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 MONTANA ST APT C
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-4349
Mailing Address - Country:US
Mailing Address - Phone:406-920-2027
Mailing Address - Fax:
Practice Address - Street 1:909 MONTANA ST APT C
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-4349
Practice Address - Country:US
Practice Address - Phone:406-920-2027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5162183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician