Individual
HENRY CHARLES HAGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1301 E BROADWAY ST, MISSOULA, MT 59802-4905
(406) 721-0680
Mailing address
3315 WASHBURN ST, MISSOULA, MT 59801-8432
(509) 362-2838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-24309
MT
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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