Individual
KYLE TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 375-4570
(406) 375-4592
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-11000
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021830
—
MT
Enumeration date
02/06/2015
Last updated
11/13/2024
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