Individual
MATTHEW RYAN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2430 ARABIAN AVE, BOZEMAN, MT 59718-8090
(406) 570-9080
Mailing address
2430 ARABIAN AVE, BOZEMAN, MT 59718-8090
(406) 570-9080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP007906A
OR
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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