Individual
ELIZABETH MANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
1107 GERALD AVE, MISSOULA, MT 59801-4235
(208) 530-3215
Mailing address
1107 GERALD AVE, MISSOULA, MT 59801-4235
(208) 530-3215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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