Individual
MR. HONANI POLEQUAPTEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, CEEAA, LMT
Contact information
Practice address
91 CAMPUS DR, PMB 1217, MISSOULA, MT 59801-4492
(406) 827-3659
(406) 549-3115
Mailing address
PO BOX 447, THOMPSON FALLS, MT 59873-0447
(406) 827-8050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1625
MT
Other
Enumeration date
05/25/2007
Last updated
07/21/2022
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