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NPI Code Detail

MEDICARE: STARR BROWN DPT

MEDICARE: STARR BROWN 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-19410MT

General Provider Information

NPI Number : 1649887498
Entity Type Code : Individual
Provider Name (Legal Business Name) : STARR BROWN DPT
Provider Business Mailing Address
First Line : PO BOX 942
Second Line :
City : BIGFORK
State : MT
Zip : 59911-0942
Country : US
Telephone Number : 406-407-8799
Fax Number :
Provider Business Practice Location Address
First Line : 850 HOLT DR
Second Line :
City : BIGFORK
State : MT
Zip : 59911-6218
Country : US
Telephone Number : 406-837-3255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2020
Last Update Date : 06/13/2026

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