Individual
MRS. LOREE MICHELLE BAASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4718 23RD AVE, SUITE 500, MISSOULA, MT 59803-1163
(406) 626-0400
Mailing address
4718 23RD AVE, SUITE 500, MISSOULA, MT 59803-1163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1795PTA
MT
Other
Enumeration date
05/02/2007
Last updated
09/24/2010
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