Individual
MR. JIM M MCLEAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT,CSCS
Contact information
Practice address
16600 BECKWITH ROAD, FRENCHTOWN, MT 59834
(406) 262-0026
Mailing address
PO BOX 767, FRENCHTOWN, MT 59834-0767
(406) 626-0026
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
568
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348712
—
MT
01
—
61825
BCBS
MT
01
—
MSF0952741
MT STATE FUND WORK COMP
MT
Enumeration date
11/09/2005
Last updated
07/08/2007
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