Individual
KIRBY AHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-5111
Mailing address
335 4TH ST E, COLUMBIA FALLS, MT 59912-3534
(443) 871-1545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-19447
MT
225700000X
Massage Therapist
MASS-15880
MT
Other
Enumeration date
04/30/2021
Last updated
12/10/2024
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