Provider Demographics
NPI:1871910356
Name:TAU, AIMEE (RMA)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:TAU
Suffix:
Gender:F
Credentials:RMA
Other - Prefix:MISS
Other - First Name:AIMEE
Other - Middle Name:ANNALIESE
Other - Last Name:TAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RMA
Mailing Address - Street 1:2307 W MAIN ST APT 112
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-3984
Mailing Address - Country:US
Mailing Address - Phone:605-941-1573
Mailing Address - Fax:
Practice Address - Street 1:2307 W. MAIN STREET APT 112
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718
Practice Address - Country:US
Practice Address - Phone:605-941-1573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, Medical