Individual
KELSIE NICOLE BRUTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 SUNSET BLVD, CONRAD, MT 59425-1717
(406) 271-2222
Mailing address
805 SUNSET BLVD, CONRAD, MT 59425-1717
(406) 271-2222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-7017
ID
225200000X
Physical Therapy Assistant
PTP-PTA-LIC-32533
MT
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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