Individual
JARED WINSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
419 W 9TH ST, LIBBY, MT 59923-1766
(406) 293-8942
Mailing address
25 HERITAGE WAY, KALISPELL, MT 59901-3100
(406) 407-7990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24315
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24315
STATE PROVIDER LICENSE
MT
Enumeration date
05/19/2022
Last updated
05/24/2022
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