Individual
MRS. KAREN SUE GRANBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3018 RATTLESNAKE DR, MISSOULA, MT 59802-6101
(406) 549-0988
Mailing address
2816 RAYMOND AVE, MISSOULA, MT 59802-3214
(406) 214-9625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-426
MT
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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