Individual
JENNIFER E WILSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 N WILLSON AVE, SUITE 105A, BOZEMAN, MT 59715-3551
(406) 599-9150
Mailing address
6594 BEAR CLAW LN, BOZEMAN, MT 59715-9109
(406) 586-4526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/04/2013
Last updated
03/22/2018
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