Individual
MARY HENSLEIGH THANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, GCS
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4050
(406) 327-4566
Mailing address
604 W ARTEMOS DR, MISSOULA, MT 59803-1504
(406) 214-1917
(406) 327-4566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
519
MT
2251G0304X
Geriatric Physical Therapist
Primary
519
MT
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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