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Individual

MR. REID L MOLEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
314 1ST AVE N, GREAT FALLS, MT 59401-2506
(406) 454-0438
(406) 727-8550
Mailing address
2001 11TH ST SW, GREAT FALLS, MT 59404-3409
(406) 454-0579

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
105054-2401
UT
225100000X
Physical Therapist
Primary
86PT
MT
225100000X
Physical Therapist
9141
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000083326
MEDICARE - GROUP NUMBER
MT
05
0349154
MT
01
196546100
US DEPT. OF LABOR
MT
01
942822815003
EBMS
MT
01
942822815B004
TRICARE
MT
Enumeration date
09/21/2005
Last updated
05/10/2023
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