Individual
WILLIAM W BRUNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
906 9TH STREET WEST, SUITE A, COLUMBIA FALLS, MT 59912
(406) 892-0681
(406) 892-0682
Mailing address
111 SUNNYVIEW LANE, SUITE B, KALISPELL, MT 59901
(406) 752-3597
(406) 756-7605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
268PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343468
—
MT
01
—
61530
BCBS
MT
01
—
650020222
RR MEDICARE
MT
Enumeration date
11/03/2006
Last updated
06/28/2010
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