Individual
KATHRYN DOLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1001 SW HIGGINS AVE STE 205, MISSOULA, MT 59803-1340
(406) 721-3096
(406) 721-3956
Mailing address
234 MCLEOD AVE, MISSOULA, MT 59801-4304
(406) 721-3096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1631PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348449
—
MT
Enumeration date
10/27/2006
Last updated
03/22/2013
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