| Doctor Name: | MR. MARCEL ROBERT LAK |
| NPI Number: | 1902964943 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T. |
| License Number: | PT17531 |
| Business Practice Address: | 1532 Ellis St Suite 103 Bozeman, MT - 597158808 |
| Business Phone Number: | 4065865694 |
| Business Fax Number: | 4065865987 |
| Mailing Address: | 1450 Ellis St, Ste. 201 BOZEMAN |
| State: | MT |
| Postal Code: | 597158812 |
| Phone Number: | 4065470122 |
| Fax Number: | 4065875548 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT17531 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |