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Individual

BRUS W LAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3051 CABERNET DRIVE, SUITE 3, HELENA, MT 59601-8644
(406) 282-1030
(406) 422-0626
Mailing address
3051 CABERNET DRIVE, SUITE 3, HELENA, MT 59601-8644
(406) 282-1030
(406) 422-0626

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13073
MT
225100000X
Physical Therapist
Primary
PTP-PT-LIC-13203
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871251173
MT
Enumeration date
08/21/2017
Last updated
03/06/2024
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