Individual
MRS. AMY THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
644 4TH AVE W, KALISPELL, MT 59901-5206
(406) 751-3535
Mailing address
644 4TH AVE W, KALISPELL, MT 59901-5206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-105
MT
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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