Black Dog Performance, Llc

LBN: Black Dog Performance, Llc
Black Dog Performance, Llc is an health care organization with primary practice located at 2245 W Koch St Ste A , Bozeman MT 59718-4013. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as the primary health care specialty. Black Dog Performance, Llc can be contacted via phone (406) 585-7000, or through Dwyer, Brenna Adele via phone (425) 686-4349.

Contact Information

Primary practice address
2245 W Koch St Ste A Bozeman MT 59718-4013
Phone: (406) 585-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dwyer, Brenna Adele LMT
Phone: (425) 686-4349

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1588396675
LBN Legal business name Black Dog Performance, Llc
DBA Doing business as
Authorized official Dwyer, Brenna Adele LMT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2022
Last updated Jun 28th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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