Individual
RACHELLE LEUKUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 HERITAGE WAY, KALISPELL, MT 59901-3145
(406) 755-0800
Mailing address
385 W SPRINGCREEK RD, KALISPELL, MT 59901-3335
(406) 890-0169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-15184
MT
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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