Individual
KORI HJORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 DURSTON RD, BOZEMAN, MT 59715-2725
(406) 582-3300
Mailing address
1221 DURSTON RD, BOZEMAN, MT 59715-2725
(406) 582-3300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8256936-2402
UT
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-9421
MT
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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