Individual
LISA A MACHUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2203 CHERRY DR, GREAT FALLS, MT 59404-3514
(406) 453-2683
Mailing address
2203 CHERRY DR, GREAT FALLS, MT 59404-3514
(406) 453-2683
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1665
MT
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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