Organization
PAULA R HUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA RAE HUSTON PT (PT/OWNER)
(406) 543-7457
Entity
Organization
Contact information
Practice address
3100 PARK ST, MISSOULA, MT 59801-8757
(406) 543-7457
Mailing address
3100 PARK ST, MISSOULA, MT 59801-8757
(406) 543-7457
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
534
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347945
—
MT
01
—
5605301
MEDICAID DME
MT
Enumeration date
06/30/2011
Last updated
06/30/2011
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