Individual
MRS. BEVERLEY GRANSBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
200 S CLARK ST, BUTTE, MT 59701-1500
(406) 723-4268
(406) 723-4274
Mailing address
200 S CLARK ST, BUTTE, MT 59701-1500
(406) 723-4268
(406) 723-4274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1694PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400000
—
MT
01
—
61788
BLUE CROSS/BLUE SHIELD
MT
01
—
P00015265
RAILROAD MEDICARE
MT
Enumeration date
03/01/2006
Last updated
02/12/2025
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