Individual
JASON D. GRENSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
500 15TH AVE S, GREAT FALLS, MT 59405-4324
(406) 771-4788
Mailing address
408 35TH AVE NE, GREAT FALLS, MT 59404-4207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1673
MT
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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