Individual
MICHAEL A SCALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2651 SOUTH AVE W, THERAPY DEP, MISSOULA, MT 59804-6405
(406) 626-0400
Mailing address
2651 SOUTH AVE W, THERAPY DEP, MISSOULA, MT 59804-6405
(406) 626-0400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1599
MT
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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