Individual
SUSAN MARY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
827 LOCUST ST, MISSOULA, MT 59802-3719
(406) 728-9142
Mailing address
827 LOCUST ST, MISSOULA, MT 59802-3719
(406) 728-9142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 119
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349741
—
MT
Enumeration date
05/21/2007
Last updated
07/09/2007
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