Individual
JASON C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2360 MULLAN RD, STE D, MISSOULA, MT 59808-1811
(406) 542-4702
(406) 541-8240
Mailing address
2360 MULLAN RD, STE C, MISSOULA, MT 59808-1811
(406) 721-4436
(406) 721-6053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1612
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346375
—
MT
Enumeration date
06/27/2006
Last updated
10/25/2019
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