NPI 1306064993

Phillip Leavell, PTA

Practitioner Physical Therapy Assistant Missoula, MT

Practice location

Address: 4718 23rd Ave, Missoula, MT 59803-1163
Phone: (406) 251-6410
Mailing address: 100 Sage Ln, Hamilton, MT 59840-3630

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1966 (MT)

Other Physical Therapy Assistant providers in Montana →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7347A (AZ)

Registry record

NPI: 1306064993
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2007
Record last updated: 8 Jul 2007

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.