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NPI Code Detail

MEDICARE: MRS. AMBER COULTER P.T.

MEDICARE:  MRS. AMBER  COULTER  P.T.
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
1225100000XPhysical Therapist1678PTMT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023194776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER COULTER P.T.
Provider Business Mailing Address
First Line : 5578 BRIDLEPATH LANE
Second Line :
City : FLORENCE
State : MT
Zip : 59833
Country : US
Telephone Number : 406-721-3096
Fax Number :
Provider Business Practice Location Address
First Line : 3802 EASTSIDE HWY
Second Line :
City : STEVENSVILLE
State : MT
Zip : 59870-2224
Country : US
Telephone Number : 406-777-3523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. AMBER COULTER P.T.” Practice Location

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