Individual
LYNNE M JENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 WEST BROADWAY, MISSOULA, MT 59802-4008
(406) 721-5600
(406) 721-3907
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1516
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345695
—
MT
Enumeration date
06/07/2006
Last updated
05/08/2020
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