Individual
JULIE A HISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1700 W. KOCH, SUITE 12, BOZEMAN, MT 59715
(406) 587-6057
(406) 587-2177
Mailing address
1700 W. KOCH, SUITE 12, BOZEMAN, MT 59715
(406) 587-6057
(406) 587-2177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-756
MT
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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