Individual
MARY MISCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 E SPRUCE ST, STE A, MISSOULA, MT 59802-4504
(406) 549-0064
(406) 543-2999
Mailing address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-2323
(406) 251-2999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070019592
IL
225100000X
Physical Therapist
Primary
PTP-PT-LIC-9281
MT
Other
Enumeration date
01/31/2013
Last updated
08/24/2015
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