Individual
KATHY REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2100 S HIGGINS AVE, MISSOULA, MT 59801-6761
(406) 728-7888
(406) 549-9952
Mailing address
2100 S HIGGINS AVE, MISSOULA, MT 59801-6761
(406) 728-7888
(406) 549-9952
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1199PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349843
—
MT
01
—
DC4491
RAILROAD MEDICARE IND #
MT
Enumeration date
07/21/2006
Last updated
10/09/2007
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