Individual
JOSHUA JAMES DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W IDAHO ST STE A, KALISPELL, MT 59901-3939
(406) 890-2408
Mailing address
120 W IDAHO ST STE A, KALISPELL, MT 59901-3939
(406) 890-2408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-4496
MT
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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