Individual
CONNOR SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-6605
Mailing address
24 LANTERN TRL, ENNIS, MT 59729-9179
(406) 581-0760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5562
ID
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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