Individual
MS. MONTANNA WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 243-6362
Mailing address
4266 EXPRESSWAY APT 7, MISSOULA, MT 59808-1441
(231) 866-0217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-2757
MT
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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