Individual
MIKE KIM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
2360 MULLAN RD, MISSOULA, MT 59808-1811
(406) 542-0808
Mailing address
2360 MULLAN RD, MISSOULA, MT 59808-1811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2313
MT
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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