Individual
BRIAN MITCHELL ROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1200 S RESERVE ST, SUITE H-3, MISSOULA, MT 59801-3105
(406) 544-2878
Mailing address
910 SW HIGHWAY 97, STE 200, MADRAS, OR 97741-9264
(406) 273-6090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1534PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61518
BLUE CROSS - BLUE SHIELD
MT
Enumeration date
01/18/2007
Last updated
02/09/2016
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