Doctor Name: | MRS. KACI LEE MONROE |
NPI Number: | 1912290206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 850 Holt Drive Bigfork, MT - 59911 |
Business Phone Number: | 4068373255 |
Business Fax Number: | 4068373256 |
Mailing Address: | P.o. Box 1557, BIGFORK |
State: | MT |
Postal Code: | 59911 |
Phone Number: | 4068373255 |
Fax Number: | 4068373256 |
NPI Enumeration Date: | 05/19/2011 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |