| Doctor Name: | DR. JACE LEE EVERETT |
| NPI Number: | 1184852451 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DOCTORATE |
| License Number: | 2005 |
| Business Practice Address: | 216 14th Ave Sw Sidney, MT - 592703519 |
| Business Phone Number: | 4064882166 |
| Business Fax Number: | 4064882220 |
| Mailing Address: | 628 11th St Se, SIDNEY |
| State: | MT |
| Postal Code: | 592705367 |
| Phone Number: | 4064887193 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2009 |
| NPI Last Update Date: | 06/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |