Individual
MRS. KIMBERLEE MICHELE RAYNOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
612 E. MAIN ST,, STE C EPICENTER THERAPY SERVICES, BOZEMAN, MT 59715
(406) 522-3722
Mailing address
713 TRIPLE TREE RD, BOZEMAN, MT 59715-7852
(406) 587-0117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2253PT
MT
2251P0200X
Pediatric Physical Therapist
40QA00357200
NJ
Other
Enumeration date
04/20/2007
Last updated
08/31/2009
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