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NPI Code Detail

MEDICARE: CRISTAL WARNEKE P.T.A.

MEDICARE: CRISTAL WARNEKE P.T.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant1969MT

General Provider Information

NPI Number : 1316194202
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTAL WARNEKE P.T.A.
Provider Business Mailing Address
First Line : 1401 25TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5183
Country : US
Telephone Number : 406-731-8930
Fax Number : 406-731-8935
Provider Business Practice Location Address
First Line : 1401 25TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5183
Country : US
Telephone Number : 406-731-8930
Fax Number : 406-731-8935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 12/12/2025

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Directions to “ CRISTAL WARNEKE P.T.A.” Practice Location

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