Individual
MRS. ANN MARTINEAU PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 SOUTH MAIN, SHERIDAN, MT 59749
(406) 842-5055
Mailing address
PO BOX 735, SHERIDAN, MT 59749
(406) 842-5055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
480
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400163
—
MT
01
—
61958
BCBS
MT
Enumeration date
05/31/2007
Last updated
07/08/2007
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