NPI 1417535808

Jolyna Wilson, MSPT

Practitioner Physical Therapist Lakeside, MT

Practice location

Address: 366 Lakeshore Dr, Lakeside, MT 59922-9712
Phone: (303) 475-2504

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 19503 (MT)

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Registry record

NPI: 1417535808
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2021
Record last updated: 29 Mar 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.