Individual
TERESA REID MUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
350 HERITAGE WAY STE 1200, KALISPELL, MT 59901-3160
(406) 752-6784
(406) 756-4111
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(828) 294-7793
(828) 330-2030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01673
NC
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-108187
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00822216
MEDICARE RAILROAD
—
Enumeration date
07/05/2007
Last updated
07/14/2022
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