Individual
DAVID LAWRENCE COLETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT, CMPT
Contact information
Practice address
1823 W COLLEGE ST STE 100, BOZEMAN, MT 59715-4915
(406) 556-0562
(406) 556-0965
Mailing address
1823 W COLLEGE ST STE 100, BOZEMAN, MT 59715-4915
(406) 556-0562
(406) 556-0965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1577PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346358
—
MT
05
—
0346426
—
MT
Enumeration date
10/26/2006
Last updated
05/07/2018
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