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NPI Code Detail

MEDICARE: KATHERINE ANNE CLUTE-REINIG PT, DPT

MEDICARE: KATHERINE ANNE CLUTE-REINIG PT, DPT
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 TherapistPTP-PT-LIC-27069MT

General Provider Information

NPI Number : 1043904808
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANNE CLUTE-REINIG PT, DPT
Provider Business Mailing Address
First Line : 2409 DEARBORN AVE STE E
Second Line :
City : MISSOULA
State : MT
Zip : 59801-7748
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2409 DEARBORN AVE STE E
Second Line :
City : MISSOULA
State : MT
Zip : 59801-7748
Country : US
Telephone Number : 406-543-7860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/05/2023

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