Individual
CHANDA KAYE WILLSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 N 2ND ST, HAMILTON, MT 59840-2589
(406) 201-1248
(406) 215-9002
Mailing address
108 N 2ND ST APT A, HAMILTON, MT 59840-2590
(406) 201-9213
(406) 215-9002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03359
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665190
—
IA
Enumeration date
03/06/2008
Last updated
07/30/2025
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