Organization
GATEWAY PHYSICAL THERAPY AND WELLNESS PC
Active
Organization
GATEWAY PHYSICAL THERAPY AND WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY A LOHMAN (OFFICE MANAGER PRESIDENT)
(406) 728-2493
Entity
Organization
Contact information
Practice address
1211 S RESERVE ST, SUITE 202E, MISSOULA, MT 59801-3101
(406) 728-2473
(406) 542-6393
Mailing address
1211 S RESERVE ST, SUITE 202E, MISSOULA, MT 59801-3101
(406) 728-2473
(406) 542-6393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1515MT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00600030
—
MT
Enumeration date
06/05/2007
Last updated
08/22/2020
Update your record
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