Provider Demographics
NPI:1801545058
Name:RUPPRECHT, AMY NICHOLE (DTCM, MTCM, LAC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:NICHOLE
Last Name:RUPPRECHT
Suffix:
Gender:F
Credentials:DTCM, MTCM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N RIDING RD
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2527
Mailing Address - Country:US
Mailing Address - Phone:406-885-9594
Mailing Address - Fax:
Practice Address - Street 1:214 2ND ST E STE 102103
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2436
Practice Address - Country:US
Practice Address - Phone:406-730-2224
Practice Address - Fax:406-730-2228
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-ACU-LIC-108593171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist