Individual
MELISSA J JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
710 N 11TH STREET, COLUMBUS, MT 59019-0959
(406) 322-1005
(406) 322-5207
Mailing address
710 N 11TH STREET, PO BOX 959, COLUMBUS, MT 59019-0959
(406) 322-1005
(406) 322-5207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
628
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413032
—
MT
Enumeration date
08/05/2013
Last updated
08/05/2013
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