Individual
JOHN JAY MITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
472 TAMMANY LN, HAMILTON, MT 59840-9216
(406) 363-2816
(406) 363-2816
Mailing address
472 TAMMANY LN, HAMILTON, MT 59840-9216
(406) 363-2816
(406) 363-2816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
733
MT
2251S0007X
Sports Physical Therapist
733
MT
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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