Individual
MYLES MATTHEW EKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1419 N 14TH AVE UNIT A, BOZEMAN, MT 59715-3475
(406) 586-4678
(406) 586-4670
Mailing address
217 SILVER CLOUD CIR, BOZEMAN, MT 59715-0631
(406) 551-0699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PRD-PT-LIC-31658
MT
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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