Individual
DR. KATHRYN DIANE FISETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436
Mailing address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-17136
MT
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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