Individual
MRS. BETH AMY NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 W 21ST ST., RED LODGE, MT 59068
(406) 446-1112
(406) 446-0082
Mailing address
PO BOX 590, RED LODGE, MT 59068-0590
(406) 446-1112
(406) 446-0082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
478
MT
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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