Individual
WYNETTE FAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25 CLAREMONT ST, KALISPELL, MT 59901-3551
(406) 752-9612
Mailing address
5330 STELLE LN, WHITEFISH, MT 59937-8459
(406) 862-3553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1200
MT
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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