Individual
DR. JEFFREY ERNEST HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1016 BROOKS AVE, CORVALLIS, MT 59828-9340
(406) 961-3841
(406) 961-6814
Mailing address
1016 BROOKS AVE, CORVALLIS, MT 59828-9340
(406) 961-3841
(406) 961-6814
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1699PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00348874
—
MT
01
—
61278
BLUECROSS BLUESHIELD
MT
01
—
P00708924
RAILROAD MEDICARE
MT
Enumeration date
01/09/2007
Last updated
12/08/2009
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