Individual
MR. MICHAEL JOSEPH MANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2525 COLONIAL DR, SUITE B, HELENA, MT 59601-4902
(406) 449-4279
(406) 449-8043
Mailing address
2525 COLONIAL DR, SUITE B, HELENA, MT 59601-4902
(406) 449-4279
(406) 449-8043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
253
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340102
—
MT
01
—
841391220001
EBMS
—
01
—
MSF0508584
MONTANA STATE FUND
—
Enumeration date
01/25/2006
Last updated
12/24/2007
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