Organization
MONIQUE KREBSBACH PT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE KREBSBACH PT (BUSINESS OWNER)
(406) 829-0728
Entity
Organization
Contact information
Practice address
309 SW HIGGINS AVE, MISSOULA, MT 59803-1405
(406) 829-0728
(406) 327-1215
Mailing address
309 SW HIGGINS AVE, MISSOULA, MT 59803-1405
(406) 829-0728
(406) 327-1215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
565
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
565
STATE LICENSE
MT
Enumeration date
03/11/2008
Last updated
03/11/2008
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