Individual
MR. SCOTT MICHALE EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, CWS
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5407
Mailing address
4 FAWN DR, GREAT FALLS, MT 59404-6448
(406) 761-4427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
807PT
MT
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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