Individual
RAINA CONSTANCE MORTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59801-4494
(406) 243-0211
Mailing address
622 KRYSTY DR, MISSOULA, MT 59804-1204
(406) 301-1461
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MT
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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