Individual
MS. NANCY J. SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PT, RCST
Contact information
Practice address
4604 JUNIPER DR, MISSOULA, MT 59802-5240
(406) 544-9474
Mailing address
4604 JUNIPER DR, MISSOULA, MT 59802-5240
(406) 544-9474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1514
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401445
—
MT
01
—
61876
BCBS
MT
01
—
MSF1157182
MT STATE FUND WORK COMP
MT
Enumeration date
11/09/2005
Last updated
07/08/2007
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