Individual
REBEKAH DEGRYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
Mailing address
5497 FILLY LN, MISSOULA, MT 59808-5465
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-814
MT
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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