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945 Wyoming St Unit 135, Missoula, MT 59801-2057 | |
(406) 370-1377 | |
(408) 258-0645 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 945 Wyoming St Unit 135, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932850021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Madison M Small |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417515594 PECOS PAC ID: 9032445887 Enrollment ID: I20190731002920 |
Provider Name | Brittney M Martin |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962958470 PECOS PAC ID: 9739467598 Enrollment ID: I20200925001182 |
Provider Name | Kolin Hunton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164105474 PECOS PAC ID: 8628432135 Enrollment ID: I20230918002104 |
Provider Name | Brenna Mcguinness |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417791997 PECOS PAC ID: 5890227516 Enrollment ID: I20241018000296 |
Mailing Address | Practice Location Address |
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226 Dearborn Ave, Missoula, MT 59801-8118 Ph: (406) 214-4098 | 945 Wyoming St Unit 135, Missoula, MT 59801-2057 Ph: (406) 370-1377 |