Individual
SARA GRACE BOUGHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
214 E MAIN ST, MISSOULA, MT 59802-4418
(406) 926-2150
(406) 258-0724
Mailing address
214 E MAIN ST, MISSOULA, MT 59802-4418
(406) 926-2150
(406) 258-0724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17087
MT
Other
Enumeration date
05/29/2019
Last updated
10/19/2025
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