Individual
ISABELLA GRACE CALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 243-5355
Mailing address
1225 S HIGGINS AVE APT A, MISSOULA, MT 59801-4155
(605) 838-5063
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-1557
MT
Other
Enumeration date
07/30/2017
Last updated
07/30/2017
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