Individual
TIMOTHY J WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
419 W 9TH ST, LIBBY, MT 59923-1766
(406) 293-8942
Mailing address
111 SUNNYVIEW LN, STE B, KALISPELL, MT 59901-3164
(406) 752-3597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2014020013
MO
225100000X
Physical Therapist
Primary
7761
MT
Other
Enumeration date
06/24/2014
Last updated
02/26/2015
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