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NPI Code Detail

MEDICARE: CYNTHIA TRONSTAD PT

MEDICARE:   CYNTHIA  TRONSTAD  PT
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 Therapist1594MT
2225100000XPhysical TherapistPT6379MS

General Provider Information

NPI Number : 1154571958
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA TRONSTAD PT
Provider Business Mailing Address
First Line : 1300 WEBSTER RD
Second Line :
City : BAKER
State : MT
Zip : 59313-9733
Country : US
Telephone Number : 406-775-6256
Fax Number :
Provider Business Practice Location Address
First Line : 117 BO BO DR
Second Line :
City : CRYSTAL SPRINGS
State : MS
Zip : 39059-2741
Country : US
Telephone Number : 601-892-6330
Fax Number : 601-892-6331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 10/05/2018

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Directions to “ CYNTHIA TRONSTAD PT” Practice Location

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