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Individual

HALEY KAY BOSHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1225 BIRCH ST, HELENA, MT 59601-0617
(406) 502-1210
Mailing address
205 39TH AVE NE, GREAT FALLS, MT 59404-4245
(406) 461-1892

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3735
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730343559
CHILDREN'S RESPITE CARE CENTER
NE
Enumeration date
06/29/2017
Last updated
10/17/2019
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