Individual
TRACY DEVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3802 EASTSIDE HWY, STEVENSVILLE, MT 59870-2224
(406) 777-3523
(406) 777-3523
Mailing address
399 MCCARTHY LOOP, HAMILTON, MT 59840-9146
(406) 777-3523
(406) 777-3523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1552PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345712
—
MT
Enumeration date
11/01/2006
Last updated
07/09/2007
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