Individual
MR. SHAD JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11 W MAIN ST, SUITE 218, BELGRADE, MT 59714-3700
(406) 388-4988
(406) 388-6188
Mailing address
420 N 9TH AVE, BOZEMAN, MT 59715-3330
(406) 219-3477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2032
MT
225100000X
Physical Therapist
PT3832
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062051
BCBS
MT
05
—
200066060C
—
OK
Enumeration date
06/22/2006
Last updated
07/08/2008
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