Individual
MS. KRISTEN RAE WOOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
715 KENSINGTON AVE, STE. 18, MISSOULA, MT 59801-5769
(406) 542-3600
(406) 542-3672
Mailing address
1100 CREEK CROSSING RD, MISSOULA, MT 59802-3014
(406) 721-0775
(406) 542-3672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
365
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000349384
—
MT
Enumeration date
12/06/2005
Last updated
07/08/2007
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