Search › Montana › 101YA0400X
Gerald Rudolph, LAC
NPI 1366295180 · on the registry since 2024
Practice
- Address
- 2216 Boothill Ct Ste 3
Bozeman, MT 59715 - Phone
- (406) 600-5007
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana