Organization
BOZEMAN MANUAL THERAPY PC
Active
Other names
Stephen L Hisey
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L HISEY PT (PHYSICAL THERAPIST)
(406) 587-6057
Entity
Organization
Contact information
Practice address
1700 WEST KOCH, SUITE 12, BOZEMAN, MT 59715
(406) 587-6057
(406) 587-2177
Mailing address
1700 WEST KOCH, SUITE 12, BOZEMAN, MT 59715
(406) 587-6057
(406) 587-2177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
633PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401139
—
MT
01
—
61058
BLUE CROSS BLUE SHIELD
MT
Enumeration date
01/11/2006
Last updated
04/20/2008
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