Individual provider · Type 1 NPI
Angela Gregory Updike, CMT
Specialist · Priest Lake, ID
NPI number
1518155019
Active
Practice location
168 Rosemary Loop # 2
Priest Lake, ID 83856-5023
Mailing address
PO Box 744
Priest River, ID 83856-0744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 0019006484 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1518155019
Angela Gregory Updike, CMT's National Provider Identifier is 1518155019, issued on Oct 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Priest Lake, ID. The record was last updated on Oct 9, 2007.