NPI 1174193668

Henry Gaudion, PTA

Practitioner Physical Therapy Assistant Bozeman, MT

Practice location

Address: 3985 Valley Commons Dr, Bozeman, MT 59718-6633
Phone: (406) 585-4642
Fax: (406) 585-2878

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTP-PTA-LIC-21651 (MT)

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Registry record

NPI: 1174193668
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2021
Record last updated: 28 Jun 2021

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.