Individual
MEGHAN ELISE MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1410 S RESERVE ST, MISSOULA, MT 59801-4758
(140) 682-9960
Mailing address
11617 STELLA BLUE DR, LOLO, MT 59847-8494
(406) 546-3355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-5947
MT
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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