Individual
STEVEN A NYSTUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 543-0617
(406) 728-1085
Mailing address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 543-0617
(406) 728-1085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-2424
MT
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
06/02/2011
Last updated
05/15/2019
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