Individual
MS. PAULA RAE HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3100 PARK ST, MISSOULA, MT 59801
(406) 543-7457
(406) 543-7457
Mailing address
3100 PARK ST, MISSOULA, MT 59801
(406) 543-7457
(406) 543-7457
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
534
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060726
BCSS
—
05
—
347945
—
MT
05
—
5605301
—
MT
Enumeration date
12/05/2006
Last updated
07/09/2007
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