Individual
JAYCIE DAWN KAVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
440 W LAUREL AVE, PLENTYWOOD, MT 59254-1596
(406) 765-3725
Mailing address
440 W LAUREL AVE, PLENTYWOOD, MT 59254-1596
(406) 765-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-17097
MT
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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