Individual
STACY L UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
711 E 13TH ST, WHITEFISH, MT 59937-2964
(406) 862-9378
Mailing address
2775 DILLON RD, WHITEFISH, MT 59937-8225
(406) 862-9378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
957PT
MT
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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