Individual
MOLLY MARIE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
130 N MAIN ST STE 200, BUTTE, MT 59701-9343
(406) 299-2491
Mailing address
13691 SW ASCENSION DR, TIGARD, OR 97223-5680
(503) 858-5919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65612
OR
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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