Individual
MADISON COMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
55 HERITAGE WAY, KALISPELL, MT 59901-3100
(406) 471-9910
(406) 309-2076
Mailing address
325 BOON RD, SOMERS, MT 59932-9733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-LTD-LIC-412
MT
Other
Enumeration date
07/16/2025
Last updated
08/12/2025
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