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Individual

JENNIFER DEE ALLRED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 543-7860
(406) 543-7862
Mailing address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 543-7860
(406) 543-7862

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
NV2075
NV
225100000X
Physical Therapist
PT 60285144
WA
225100000X
Physical Therapist
Primary
PTP-PT-LIC-9820
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100509577
NV
Enumeration date
10/06/2006
Last updated
08/01/2019
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