Individual
BLAINE STIMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,MS
Contact information
Practice address
115 COMMONS WAY, SUITE 101, KALISPELL, MT 59901-1906
(406) 756-2555
(406) 756-2558
Mailing address
115 COMMONS WAY, SUITE 101, KALISPELL, MT 59901-1906
(406) 756-2555
(406) 756-2558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1614PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348619
—
MT
01
—
60138
BCBS PROVIDER NUMBER
—
Enumeration date
07/07/2005
Last updated
07/08/2007
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