Individual
TEAYRE KLOSTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
212 7TH ST N, GREAT FALLS, MT 59401-2410
(815) 440-2792
Mailing address
212 7TH ST N, GREAT FALLS, MT 59401-2410
(815) 440-2792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
—
Enumeration date
08/02/2018
Last updated
08/02/2018
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