Individual
SHAUN C SCISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BOBCAT CIRCLE, BOZEMAN, MT 59715
(406) 414-5000
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305212609
VA
225100000X
Physical Therapist
Primary
PTP-PT-LIC-27322
MT
Other
Enumeration date
02/20/2019
Last updated
04/09/2025
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