Individual
TANNER HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(541) 591-2413
Mailing address
2075 COOPER ST APT 734, MISSOULA, MT 59808-2034
(541) 591-2413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MT
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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