Individual
COLETON DAVID DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
Mailing address
PO BOX 569, EUREKA, MT 59917-0569
(406) 260-5225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-27437
MT
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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