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MR. MARK JAMES BENNETT P.T.

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist

Provider NPI: 1013987460

Provider Information:
MR. MARK JAMES BENNETT P.T.
Gender: M
Not Sole Proprietor

Practice Location:
2525 COLONIAL DR SUITE B HELENA, MT 59601-4902 US
Tel: 406-449-4279  Fax: 406-449-8043

Business Mailing Address:
3845 YUHAS AVE  HELENA, MT 59602-7462 US
Tel: --  Fax: --

NPI Information:
NPI: 1013987460
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MT1720PT

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICAREP0004327201
WAWC0173627MT01
EBMS841391220014MT01
MT STATE FUNDMSF122454401
3400124MT05



American Medical Association 2012 taxonomy code information

Code: 225100000X

Type:

Classification:



Definition:



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