Individual
JACOB ALTON HALGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
103 WHITEWATER PL STE D, POLSON, MT 59860-4502
(406) 883-8101
(406) 883-8102
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-17052
MT
Other
Enumeration date
06/20/2018
Last updated
02/05/2020
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