Individual
JAIMEE ROSE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
524 E PARK ST, BUTTE, MT 59701-1929
(406) 782-4748
(406) 782-4375
Mailing address
524 E PARK ST, BUTTE, MT 59701-1929
(406) 782-4748
(406) 782-4375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15078
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15078
MONTANA STATE LICENSE
MT
Enumeration date
08/07/2018
Last updated
08/07/2018
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