Individual
MICHAEL A LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 E IDAHO ST STE A, KALISPELL, MT 59901-4117
(406) 257-5610
(406) 257-1372
Mailing address
202 SAINT REGIS DR, KALISPELL, MT 59901-3732
(406) 212-2869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-17181
MT
Other
Enumeration date
08/05/2019
Last updated
11/28/2023
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