Healthcare Provider Details

I. General information

NPI: 1427190297
Provider Name (Legal Business Name): PATRICIA KAY GEHMAN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 01/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3985 VALLEY COMMONS DR
BOZEMAN MT
59718-6633
US

IV. Provider business mailing address

3985 VALLEY COMMONS DR
BOZEMAN MT
59718-6633
US

V. Phone/Fax

Practice location:
  • Phone: 406-585-4642
  • Fax: 406-585-2878
Mailing address:
  • Phone: 406-585-4642
  • Fax: 406-585-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number1730PT
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: