Individual
KEVIN M VOGELZANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
1900 W BROADWAY ST STE C, MISSOULA, MT 59808-1825
(406) 544-5679
Mailing address
1900 W BROADWAY ST STE C, MISSOULA, MT 59808-1825
(406) 544-5679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1576
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052326
—
MT
Enumeration date
05/19/2008
Last updated
02/06/2014
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