Individual
MICHAEL THRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
2651 SOUTH AVE W, MISSOULA, MT 59804-6402
(406) 728-9162
Mailing address
2651 SOUTH AVE W, MISSOULA, MT 59804-6402
Taxonomy
Speciality
Code
Description
License number
State
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
Primary
420
MT
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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