Individual
DR. JACE LEE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTORATE
Contact information
Practice address
216 14TH AVE SW, SIDNEY, MT 59270-3519
(406) 488-2166
(406) 488-2220
Mailing address
628 11TH ST SE, SIDNEY, MT 59270-5367
(406) 488-7193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005
MT
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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