Jesse Long, DPT | |
2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | |
(406) 542-4702 | |
Not Available |
Full Name | Jesse Long |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2360 Mullan Rd Ste C, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235877283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTP-PT-LIC-24306 (Montana) | Primary |
Provider Name | Missoula Bone & Joint, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447207212 PECOS PAC ID: 3870583990 Enrollment ID: O20040512001126 |
Mailing Address | Practice Location Address |
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Jesse Long, DPT 1305 E Broadway St Apt 103c1, Missoula, MT 59802-4943 Ph: () - | Jesse Long, DPT 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 Ph: (406) 542-4702 |
Shelley Clark, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2803 Rockridge Ct Apt 5, Missoula, MT 59808 Phone: 605-661-0879 | |
Rachael Herynk, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1705 Bow St, Missoula, MT 59801 Phone: 406-549-5283 Fax: 406-549-5392 | |
Rhonda Wakai, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 Harve Ave, #2, Missoula, MT 59801 Phone: 406-542-0808 Fax: 406-542-0909 | |
Dr. Matthew Schumacher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 | |
Mr. John Fiore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2207 S 3rd St W, Missoula, MT 59801 Phone: 406-549-5283 Fax: 406-549-5392 | |
Jennifer K Helmer, MSPT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2740 South Ave W Ste 101, Missoula, MT 59804 Phone: 406-543-0617 Fax: 406-728-1085 | |
Catherine B Gilbert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 |