Healthcare Provider Details

I. General information

NPI: 1821707449
Provider Name (Legal Business Name): MICHAEL SCOT LIGGETT DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3745 HARRISON AVE STE B
BUTTE MT
59701-6814
US

IV. Provider business mailing address

PO BOX 11629
BOZEMAN MT
59719-1629
US

V. Phone/Fax

Practice location:
  • Phone: 406-494-7050
  • Fax: 406-494-1424
Mailing address:
  • Phone: 406-522-7488
  • Fax: 406-522-7487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: