Individual
JEFFRY A SOULIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-2323
(406) 251-2999
Mailing address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-2323
(406) 251-2999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5464
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845868009
BCBS
OR
Enumeration date
04/01/2010
Last updated
01/21/2015
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