Individual
MR. JOHANNES RENZE SIKKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
120 ROUNDSTONE DR STE 103, KALISPELL, MT 59901-3743
(406) 300-0452
(406) 730-6555
Mailing address
PO BOX 864, BIGFORK, MT 59911-0864
(406) 300-0452
(406) 730-6555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13085
MT
225100000X
Physical Therapist
PT36208
CA
2251X0800X
Orthopedic Physical Therapist
1408
WY
2251X0800X
Orthopedic Physical Therapist
PT36208
CA
Other
Enumeration date
11/19/2009
Last updated
01/05/2023
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