Individual
DAKOTA C AMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
119 W MAIN ST, EAST HELENA, MT 59635-9050
(406) 407-7990
Mailing address
25 HERITAGE WAY, KALISPELL, MT 59901-3100
(406) 407-7990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTPPTLIC14973
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTPPTLIC14973
MT PT LICENSE
MT
Enumeration date
05/31/2018
Last updated
08/18/2022
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