Individual
LAWRENCE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 25TH ST N, STE 200, GREAT FALLS, MT 59401-1381
(406) 453-5555
Mailing address
1000 25TH ST N, STE 200, GREAT FALLS, MT 59401-1381
(406) 453-5555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
989
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
989
LICENSE NUMBER
MT
Enumeration date
06/08/2016
Last updated
06/08/2016
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