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Individual

ETHAN V PYRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1705 BOW ST, MISSOULA, MT 59801-5652
(406) 549-5283
Mailing address
1705 BOW ST, MISSOULA, MT 59801-5652
(406) 549-5283

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PRD-PT-LIC-31657
MT
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/20/2021
Last updated
05/26/2026
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