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Individual

KARLA GAIL EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1532 ELLIS STREET, STE 201, BOZEMAN, MT 59715
(406) 587-4501
(406) 587-3919
Mailing address
1532 ELLIS STREET, STE 201, BOZEMAN, MT 59715
(406) 587-4501
(406) 587-3919

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1099PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000060226
BCBS OF MT
MT
05
0349388
MT
01
M000005857
MEDICARE
MT
01
P00016286
RAILROAD MEDICARE
MT
Enumeration date
07/17/2006
Last updated
07/17/2009
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