Individual
ANDREW MILTON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-6862
(406) 682-4756
Mailing address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-6862
(406) 682-4756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5931
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5931
MT STATE LIC
MT
Enumeration date
08/01/2013
Last updated
08/01/2013
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