Organization
VOGELZANG PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN VOGELZANG PT (OWNER)
(406) 544-5679
Entity
Organization
Contact information
Practice address
1900 W BROADWAY ST STE C, MISSOULA, MT 59808-1825
(406) 544-5679
Mailing address
1900 W BROADWAY ST STE C, MISSOULA, MT 59808-1825
(406) 544-5679
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1576PT
MT
2251X0800X
Orthopedic Physical Therapist
1576PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052326
—
MT
Enumeration date
12/18/2006
Last updated
02/19/2014
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