Most Relevant Information
Provider Data
NPI Number: | 1003197179 |
Provider Name: | RACHAEL HERYNK DPT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 2408PT |
Most Important Dates
Enumeration Date: | 09/02/2011 |
Last Updated: | 09/02/2011 |
Provider Practice Location
1705 BOW ST
MISSOULA
MT
598015652
Practice Location Phone/Fax
Phone: | 4065495283 |
Fax: | 4065495392 |
Provider Mailing Location
1705 BOW ST
MISSOULA
MT
598015652
Provider Mailing Phone/Fax
Phone: | 4065495283 |
Fax: | 4065495392 |