Individual
KEVAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5138 HORN RD, MISSOULA, MT 59808-5217
(256) 652-1772
(256) 652-1772
Mailing address
5138 HORN RD, MISSOULA, MT 59808-5217
(205) 942-6820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9461
AL
Other
Enumeration date
08/05/2019
Last updated
04/30/2026
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