Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ROBERT BROADHEAD, PT
ActivePhysical Therapy Assistant · LIVINGSTON, MT
Registration Details
- NPI Number
- 1154765766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2013 (12.990174043268 yrs)
- Last Updated
- Jun 21, 2017
- License
-
5784 (MT)
Practice Information
- Address
-
510 S 14TH STLIVINGSTON, MT, 590473731Browse MT providers · Browse ZIP 59047
- Phone
- 4062220672
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LIVINGSTON, MT
| Name | Credential | NPI |
|---|---|---|
| GARY DEAN MILLER | P.T., CPED | 1174535645 |
| MS. JUDITH ELLEN KUIPERS | PT | 1679688840 |
| MS. CAROLINE M REHDER | PT | 1578650198 |
| MS. NICOLE ATHENA KIMBALL | MS PT | 1437218856 |
| MS. KATHLEEN JOANN SCHRETENTHALER | PT CSCS | 1821150624 |
| AMANDA LOUISE RUDNISKY | DPT | 1952422453 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.