Individual
SETH D HALVERSON
Active
Individual
SETH D HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1187
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245701
MONTANA STATE FUND
MT
01
—
201386522597150000
TRICARE
MT
05
—
3400995
—
MT
01
—
60573
BLUE CROSS BLUE SHIELD
MT
Enumeration date
05/03/2006
Last updated
07/11/2019
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