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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRENT ALAN DODGE, PT

Active Sole Proprietor

MR. BRENT ALAN DODGE, PT is a Physical Therapy Assistant healthcare provider located in MISSOULA, Montana. NPI 1194743948 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MISSOULA, MT

Registration Details

NPI Number
1194743948
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2006 (20.05711605026 yrs)
Last Updated
Oct 2, 2014
License
709 (MT)
Sole Proprietor
Yes

Practice Information

Address
5000 BLUE MOUNTAIN RD
MISSOULA, MT, 598049207
Browse MT providers · Browse ZIP 59804
Phone
4062512323
Fax
4062512999
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MISSOULA, MT

Name Credential NPI
MR. JOHN FIORE PT 1013910066
MRS. LINSEY PATRICIA OLSON MSPT 1467441402
MRS. KATE M SKINNER DPT 1962483743
MS. NANCY J. SIEGEL MS PT, RCST 1871574657
MR. STEVEN TORCOLETTI PT 1457334385
MS. KRISTEN RAE WOOD P.T. 1841274461
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.