Individual
BRIAN FAUNTLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4915 LOWER MILLER CREEK RD, MISSOULA, MT 59803-9659
(406) 251-2323
Mailing address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-2323
(406) 251-2999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MT
Other
Enumeration date
05/14/2024
Last updated
01/07/2026
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