Individual
JAY G SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1111 BAKER AVE STE 2, WHITEFISH, MT 59937-2908
(406) 862-7997
(406) 862-7987
Mailing address
1111 BAKER AVE STE 2, WHITEFISH, MT 59937-2908
(406) 862-7997
(406) 862-7987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
435PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349947
—
MT
01
—
61828
BLUECROSS BLUESHIELD
MT
Enumeration date
11/08/2006
Last updated
07/09/2007
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