Individual
JENELLE MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
600 MT HIGHWAY 91 S, DILLON, MT 59725-7379
(406) 683-3098
(406) 683-1102
Mailing address
PO BOX 287, DILLON, MT 59725-0287
(406) 490-5901
(406) 683-1102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-4361
MT
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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