Individual
MARTIN NELSON MCGEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2651 SOUTH AVE W, MISSOULA, MT 59804-6405
(406) 728-9162
Mailing address
220 PATTEE CREEK DR, MISSOULA, MT 59801-8735
(406) 274-2718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1626
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1626
STATE PT LICENSE NUMBER
MT
Enumeration date
03/20/2019
Last updated
03/20/2019
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