Individual
MR. KYOTA SHIZUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
107 RIDGEWATER DR, POLSON, MT 59860-8977
(406) 883-3737
(406) 883-2669
Mailing address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
(406) 676-0835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2418
MT
Other
Enumeration date
09/26/2013
Last updated
10/14/2016
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