Individual
JENNY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
1343 US HIGHWAY 93 N, EUREKA, MT 59917-9503
(406) 297-3915
Mailing address
1343 US HIGHWAY 93 N, EUREKA, MT 59917-9503
(406) 297-3915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4465
MT
Other
Enumeration date
08/30/2016
Last updated
03/27/2017
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