NPI 1093992315

Jason Rico Perigen, PTA

Practitioner Physical Therapy Assistant Bozeman, MT

Practice location

Address: 1221 Durston Rd W, Bozeman, MT 59715
Phone: (406) 582-3300
Mailing address: 1020 N Yellowstone Ave, Bozeman, MT 59718

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1536 (MT)

Other Physical Therapy Assistant providers in Montana →

Registry record

NPI: 1093992315
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2008
Record last updated: 29 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.