Individual
MRS. AMBER COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3802 EASTSIDE HWY, STEVENSVILLE, MT 59870-2224
(406) 777-3523
Mailing address
5578 BRIDLEPATH LANE, FLORENCE, MT 59833
(406) 721-3096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1678PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400663
—
MT
Enumeration date
10/27/2006
Last updated
07/08/2007
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